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Sample Company

Employee Culture Survey

Please begin by completing the Background Information in Part 1. In Part 2, the Feedback section, click the button for the response that best describes your perception of this person's leadership behavior. These leadership competencies were selected by the your organization as the most important skills needed to achieve the organization's long-term strategic plan.

IMPORTANT: Your responses are not counted until you click the "Submit Evaluation" button at the bottom of the form.

Part 1 - Background Infomation Use the Drop-down Box to Answer Each Question
1.) Please select the name of the person you are evaluating.
2.) Choose the item from the list that completes this statement. (I am this person's _______?)
3.) Please type your name for adminstrative purposes. Your evaluation will be strictly confidential. All evaluations are combined with at least 2 other responses and reported as a group.
Part 2 - Feedback Click on the Button to Answer Each Question
A Clarity of Direction Strongly Agree Agree Neither Disagree Strongly Disagree
1.) My immediate supervisor takes time to clarify overall goals & objectives of our division/area & relate them to my work.
2.) This company has a clear set of corporate goals & objectives that it is working toward.
3.) Our division/area has a clear set of goals and objectives that it is working toward.
4.) I have clear expectations in the major areas of my job.
5.) Planning is effectively utilized in my division/area.
Please use this space to add any comments you have regarding Clarity of Direction

B Decision Making Strongly Agree Agree Neither Disagree Strongly Disagree
1.) I trust corporate management's judgment in making decisions.
2.) I trust my immediate supervisor's judgment in making decisions.
3.) Decisions can be made at all levels of the company.
4.) In my division/area, once a decision is made, it is implemented.
Please use this space to add any comments you have regarding Decision Making.

C Organizational Integration Strongly Agree Agree Neither Disagree Strongly Disagree
1.) The people in my division/area share information and resources with others in my division/area.
2.) The people in my division/area share information and resources with people in other divisions/areas.
3.) Teamwork is a strength of this company.
4.) I find the company newsletter informative and helpful.
5.) I feel a quarterly newsletter is adequate.
6.) I am encouraged to express my views, ideas, and concerns.
Please use this space to add any comments you have regarding Organizational Integration.

D Management Style Strongly Agree Agree Neither Disagree Strongly Disagree
1.) Job assignments are made fairly by my immediate supervisor or manager.
2.) My relationship with my supervisor or manager is based on trust.
3.) I am treated with respect.
4.) Top management wants to know what I think.
5.) Incorporates new policies with a minimum of disruption.
6.) This company encourages creativity and innovation.
Please use this space to add any comments you have regarding Management Style.

E Performance Orientation Strongly Agree Agree Neither Disagree Strongly Disagree
1.) My division/area places a premium on producing high-quality work.
2.) Management in this company is committed to improving its performance.
3.) In my division/area, employees are held accountable for performing their jobs.
4.) This company places emphasis on achieving results.
5.) In my division/area, goals are set high enough that they are challenging.
6.) People in the company have enough time to think about the important issues associated with this job.
Please use this space to add any comments you have regarding Performance Orientation.

F Organizational Vitality Strongly Agree Agree Neither Disagree Strongly Disagree
1.) This company is considered a innovator or pacesetter among similar companies.
2.) New ideas get talked about and are implemented if they are good.
Please use this space to add any comments you have regarding Organizational Vitality.

G Compensation Strongly Agree Agree Neither Disagree Strongly Disagree
1.) Compared to other companies, my fringe benefits are good (insurance, sick leave, 401k, vacation).
2.) My total compensation compares favorably to the total compensation for similar positions in comparable companies.
3.) Fringe benefits at this company are meeting my needs.
4.) Salary increases are directly related to employee performance.
5.) Bonuses are directly related to employee performance.
6.) Promotions are directly related to employee performance.
Please use this space to add any comments you have regarding Compensation.

H Human Resource Development Strongly Agree Agree Neither Disagree Strongly Disagree
1.) Employee complaints and problems are handled fairly.
2.) I was provided adequate training for my present job.
3.) Continuing education/training opportunities are adequate for my job.
4.) I know or can find out what I need to know about my career opportunities at this company.
Please use this space to add any comments you have regarding Humna Resource Development.

I Organizational Image Strongly Agree Agree Neither Disagree Strongly Disagree
1.) This corporation is a good place to work.
2.) The company has a good reputation.
3.) Working for this company offers me an opportunity for a very good future.
4.) The work I do is enjoyable.
5.) This company treats all employees fairly without regard to race, sex, or age.
6.) My immediate environment meets my needs.
Please use this space to add any comments you have regarding Organizational Image.

J Organizational Image - Part 2 Strongly Agree Agree Neither Disagree Strongly Disagree
1.) I am convinced that this company has a good long-term future.
2.) I feel that the company is growing at an appropriate rate.
3.) This company operates in an ethical manner at all times.
4.) I am proud to be an employee of this company.
5.) I enjoy working in my department/area.
6.) The company places emphasis on safety.
Please use this space to add any comments you have regarding Organizational Image.

K Computer Technology Strongly Agree Agree Neither Disagree Strongly Disagree
1.) I have the computer hardware and software tools needed to perform my job.
2.) My computer and software are stable and reliable.
3.) I have received sufficient training or have enough knowledge to effectively use my computer and related software.
4.) When I report a computer problem to Technet, I am satisfied with the response I receive.
Please use this space to add any comments you have regarding Computer Technology.

Section 3 Click One Button Each for Effectiveness and Responsiveness
Please skip areas for which you have no direct contact Effectiveness   Responsiveness
Low High Low High
L Area 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10
1) General Superintendents
2) Shop
3) Aviation
4) Information Technology
5) Accounts Payable
6) Accounts Receivable -Billing
7) Accounting Payroll
8) Secretarial
9) Marketing Support
10) Legal
11) Safety
12) Estimating
13) Project Management
14) Division Management
15) Superintendents
16) Corporate Management
17) Insurance Bonding
18) Training
19) Human Resources
Section 4 Click a Button to Respond.
Indicate how well you believe we are living up to our Values Rate your perception
Low High
M Values 1 2 3 4 5 6 7 8 9 10
1) Customer Orientation
2) Integrity/Honesty/Fairness
3) Teamwork
4) High Value Products/Services
5) Safe, Rewarding Work Environment
6) Commitment to Excellence
Section 5
What additional comments, observations or suggestions would you like to make?

Please avoid duplicates by clicking Submit only once.


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