Sample Form # 1:
- Please put an “X” in the Yes, No or Don’t Know box after each of the following statements (32 questions).
- Please rank the following in order of importance to you (1 - highest importance; 10 - lowest importance).
- Please indicate any of the following challenges you personally deal with on a frequent or regular basis.
- If it was within the power of the company to change two (2) things, what would you like to see changed?
Sample Form # 2:
- Rate each statement as Strongly Agree, Agree, Disagree, or No Opinion (38 questions).
- If I could change just one thing to make my job more enjoyable it would be...
- The company could be improved if we...