WHY have you chosen to remain employed with the agency?

Check All that Apply Career advancement opportunities Challenging work Salary Employee benefits Less travel Supervision/management Other __________________________________

PLEASE provide additional information regarding your reasons for continuing to stay with the organization:

PLEASE rate the following items regarding your employment with the agency:
Excellent Positive work environment (relationships, values and culture) Equitable compensation Appropriate balance of work/life issues Flexibility in work schedule/telecommuting Training/educational opportunities On-the-job training and developmental experiences Opportunities for advancement Appropriate resources and equipment to perform the job Promoted diversity Good Fair Poor

PLEASE rate the following statements regarding supervision received:

Always Sets clear goals/performance expectations Distributes workload equitably Provides information needed to perform job Usually Sometimes Never

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Recognizes employees for their achievements Welcomes suggestions and encourages feedback Is accessible/approachable Addresses problems promptly Is trustworthy

PLEASE rate the following statements regarding the leadership of the agency:
Always Sets clear goals/objectives for the organization Encourages cooperation and teamwork among staff Values employee contributions Makes an effort to hear employee concerns Is responsive to known employee concerns Encourages open communication Treats employees with respect Usually Sometimes Never

WOULD you recommend the agency to a friend?

Yes No

IF you left would you return to the agency?

Yes No

WHAT would you do to make the agency a better place to work?

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1. Are you satisfied with the support from the HR department? Highly satisfied Satisfied Neutral Dissatisfied Highly Dissatisfied 2. Management is really interested in motivating the employees? Strongly agree Agree Neutral Disagree Strongly disagree 3. Which type of incentives motivates you more? Financial incentives Non-financial incentives Both 4. How far you are satisfied with the incentives provided by the organization? Highly satisfied Satisfied Neutral Dissatisfied Highly Dissatisfied 5. Please provide the following rates. (5- Strongly agree, 4- Agree, 3-Neutral, 2-Disagree, 1-Strongly disagree) No Factors Rate i. Reasonable periodical increase in salary s ii. Job security exist in the company iii. Good relationship with co-workers iv. Effective performance appraisal system v. Effective promotional opportunities in the organization vi. Good safety measures adopted in the organization. vii. Performance appraisal activities are helpful to get motivated viii. Support from the co-worker is helpful to get motivated ix. Company recognize and acknowledge your work

6. Rank the following factors which motivates you the most? (Rank 1, 2, 3, 4. respectively) No Factors i. Salary increase
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ii. iii. iv. v.

Promotion Leave Motivational talks Recognition

7. Do you think that the incentives and other benefits will influence your performance? (1)Influence (2)Does not influence (3) No opinion 8. Does the management involve you in decision making which are connected to your department? (1)Yes (2) No (3)Occasionally 9. What changes can be made to improve the work place environment? .

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