1. Which describes the industry you are employed in?

  Aerospace Manufacturing Sales Service Communications Education Health Other if other: 

2. How many employees are in your company?

       1-25 26-100 101-500 501-1000 1001-5000 over 5000

3. Please estimate the employee turnover rate for your company in the last 12 months?

        under 1% 2-5% 6-10% 11-15% 16-20% 21-30% over 31% Do Not Know

4. What was your job title at the time you left your last job?

        Designer Engineer Supervisor Manager Salesperson Assembler Other if other:

5. How long have you been at your present job?

Under 1 year 1-5 years 6-10 years 11-15 years 16-20 years over 20 years

6. Why did you leave your last job?

7. What area of change is your highest concern in reference to your employment?  

Government Cutbacks Corporate Downsizing Global Competition Corporate Mergers Economic Stability Other

   Other:  

8. Present Job Title or Classification:

9. Check off three major reasons for leaving or contemplating leaving your job?

Recognition yes  no

Supervision yes  no

Pay yes   no

Security/Layoff  yes  no

Job Satisfaction  yes no

Harassment yes no

Opportunity for advancement yes no

Other, explain

10. Would you say communication in your workplace was:    Much greater than adequate Slightly more than adequate Adequate Less than adequate Little to None

11. Would you say the rate of pay in your workplace was:   Much higher than adequate Slightly higher than average Average Little below the average Significantly below average

12. Would you say empowerment of employees in your workplace was: Much higher than average Slightly higher than average Just enough Slightly below required Significantly below requirements

13. Would you say the availability of modern equipment in your workplace was: Much higher than required Slightly higher than required Just enough Slightly below required Significantly below required

14. Would you say benefits an/or vacation in your workplace was: Much greater than adequate Slightly greater than adequate Adequate Less than adequate Poor

15. Would you say the understanding of family time/matters in your workplace was: Much greater than adequate Slightly better than adequate Adequate Less than adequate Poor

16. Would you say career paths opportunities in your company was: Much greater than adequate Slightly better than adequate Adequate Less than adequate Poor

17. Would you say workload or stress in your workplace was: Very high High Medium Low Little-None

18. Would you say the availability of accepting challenging task in your workplace was: Very high High Medium Low Little-None

19. Do you feel productive at your current job? Yes No

20. Rate your overall satisfaction with your current job.

Completely satisfied Very satisfied Satisfied Somewhat dissatisfied Completely dissatisfied

Optional:

21. Name: 

22. State: 

23. Age:    Under 21 22-30 31-40 41-50 51-60 61 +

24. Sex:  Female  Male

25. Current marital  status:   Married Divorced Separated Widowed Never Married

26. Education:   8th Grade or less Some High School High School Graduate Some College Two Year College Degree Four Year College Degree Masters PhD

27. Additional Comments: 

Thank you for your time.

28. Would you like to know the results of this survey when completed?   Yes No

29. If yes, please provide a e-mail address.