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• Job Satisfaction Form

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• Date
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• Department*
• Employee Name
• Employee Email
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• ---

• Employee Rating

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• Salary and Benefits

  	Very Good	Good	Average	Poor	Very Poor
  Salary
  Health Insurance Cost
  Health Insurance Choices
  Vacation Policy
  Sick Days
  Salary Increase Policy
  Review Policy

• Comments/Feedback
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• Co-Workers

  	Very Good	Good	Average	Poor	Very Poor
  Knowledge
  Skills
  Organization
  Teamwork
  Interpersonal Skills

• Comments/Feedback
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• Management Performance

  	Very Good	Good	Average	Poor	Very Poor
  Knowledge
  Supervisory Leadership
  Organization
  Responsiveness

• Comments/Feedback
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• Company

  	Very Good	Good	Average	Poor	Very Poor
  Company Mission
  Company Purpose
  Company Vision
  Company Awareness
  Senior Management

• Comments/Feedback
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• Please rate your overall level of job satisfaction*

  Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied
• Do you feel you have the resources you need to accomplish your work successfully?*

  Yes No
• If you answered "no", please explain.
• Is work-related stress and issue for you and/or your co-workers?*

  Yes No
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• Does upper management reach out regularly for feedback and opinions from staff?*

  Yes No
• Comments/Feedback on what can be done better.