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Information About You Company Name Department: Accounting Customer Service Finance Human Resources Job Classification:

Information About You

Company Name

Department:

AccountingInformation About You Company Name Department: Customer Service Finance Human Resources Job Classification:

Customer ServiceInformation About You Company Name Department: Accounting Finance Human Resources Job Classification: Supervisor/manager

FinanceYou Company Name Department: Accounting Customer Service Human Resources Job Classification: Supervisor/manager Legal

Human ResourcesCompany Name Department: Accounting Customer Service Finance Job Classification: Supervisor/manager Legal and Copyright

Job Classification:

Supervisor/managerCustomer Service Finance Human Resources Job Classification: Legal and Copyright Payroll Physical Plant Research and

Legal and CopyrightHuman Resources Job Classification: Supervisor/manager Payroll Physical Plant Research and Development

PayrollJob Classification: Supervisor/manager Legal and Copyright Physical Plant Research and Development

Physical PlantSupervisor/manager Legal and Copyright Payroll Research and Development Non-supervisory/eligible for

Research and DevelopmentLegal and Copyright Payroll Physical Plant Non-supervisory/eligible for overtime (non-exempt)

Non-supervisory/eligible for overtime (non-exempt)Copyright Payroll Physical Plant Research and Development Non-supervisory/not eligible for overtime (exempt) Director

Non-supervisory/not eligible for overtime (exempt)Non-supervisory/eligible for overtime (non-exempt) Director and above Temporary Clerical Staff Length of

Director and aboveNon-supervisory/not eligible for overtime (exempt) Temporary Clerical Staff Length of Service: Less than one

Temporary Clerical Staffeligible for overtime (exempt) Director and above Length of Service: Less than one year One to

Length of Service:

Less than one yearand above Temporary Clerical Staff Length of Service: One to two years Three to four years

One to two yearsClerical Staff Length of Service: Less than one year Three to four years Five to nine

Three to four yearsStaff Length of Service: Less than one year One to two years Five to nine years

Five to nine yearsLess than one year One to two years Three to four years Ten to nineteen years

Ten to nineteen yearsyear One to two years Three to four years Five to nine years Twenty years or

Twenty years or moreThree to four years Five to nine years Ten to nineteen years F EEDBACK A BOUT

FEEDBACK ABOUT Your Supervisor

   

Neither

 

My Supervisor:

Disagree

Agree Nor

Agree

Disagree

1. Treats me fairly

1. Treats me fairly
1. Treats me fairly
1. Treats me fairly

2. Brings out the best in employees

2. Brings out the best in employees
2. Brings out the best in employees
2. Brings out the best in employees

3. Treats me with respect

3. Treats me with respect
3. Treats me with respect
3. Treats me with respect

4. Takes initiative when solving problems

4. Takes initiative when solving problems
4. Takes initiative when solving problems
4. Takes initiative when solving problems

5. Develops new strategies

5. Develops new strategies
5. Develops new strategies
5. Develops new strategies

6. Applies policies and regulations fairly

6. Applies policies and regulations fairly
6. Applies policies and regulations fairly
6. Applies policies and regulations fairly

7. Is skilled in conflict resolution

7. Is skilled in conflict resolution
7. Is skilled in conflict resolution
7. Is skilled in conflict resolution

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Neither

 

My Supervisor:

Disagree

Agree Nor

Agree

Disagree

8. Handles my work-related issues satisfactorily

8. Handles my work-related issues satisfactorily
8. Handles my work-related issues satisfactorily
8. Handles my work-related issues satisfactorily

9. Builds loyalty in others

9. Builds loyalty in others
9. Builds loyalty in others
9. Builds loyalty in others

10. Tells me when my work needs improvement

10. Tells me when my work needs improvement
10. Tells me when my work needs improvement
10. Tells me when my work needs improvement

11. Expects and demands superior job performance

11. Expects and demands superior job performance
11. Expects and demands superior job performance
11. Expects and demands superior job performance

12. Explores new and exciting opportunities

12. Explores new and exciting opportunities
12. Explores new and exciting opportunities
12. Explores new and exciting opportunities

13. Challenges the abilities of other employees

13. Challenges the abilities of other employees
13. Challenges the abilities of other employees
13. Challenges the abilities of other employees

14. Tells me when I do my work well

14. Tells me when I do my work well
14. Tells me when I do my work well
14. Tells me when I do my work well

15. Asks me for my input to help make decisions

15. Asks me for my input to help make decisions
15. Asks me for my input to help make decisions
15. Asks me for my input to help make decisions

16. Gives good, practical advice

16. Gives good, practical advice
16. Gives good, practical advice
16. Gives good, practical advice

17. Communicates decisions with confidence

17. Communicates decisions with confidence
17. Communicates decisions with confidence
17. Communicates decisions with confidence

18. Is open-minded

18. Is open-minded
18. Is open-minded
18. Is open-minded

19. Handles disruptive employees effectively

19. Handles disruptive employees effectively
19. Handles disruptive employees effectively
19. Handles disruptive employees effectively

20. Is well informed

20. Is well informed
20. Is well informed
20. Is well informed

21. Effectively settles disciplinary problems

21. Effectively settles disciplinary problems
21. Effectively settles disciplinary problems
21. Effectively settles disciplinary problems

22. Usually rewards hard work

22. Usually rewards hard work
22. Usually rewards hard work
22. Usually rewards hard work

23. Recognizes when I do a good job

23. Recognizes when I do a good job
23. Recognizes when I do a good job
23. Recognizes when I do a good job

24. Encourages me to create innovative solutions

24. Encourages me to create innovative solutions
24. Encourages me to create innovative solutions
24. Encourages me to create innovative solutions

25. Allows me to develop professionally

25. Allows me to develop professionally
25. Allows me to develop professionally
25. Allows me to develop professionally

26. Allows me to obtain necessary training

26. Allows me to obtain necessary training
26. Allows me to obtain necessary training
26. Allows me to obtain necessary training

27. Helps me to feel secure in my job

27. Helps me to feel secure in my job
27. Helps me to feel secure in my job
27. Helps me to feel secure in my job

28. Sets high standards for themselves

28. Sets high standards for themselves
28. Sets high standards for themselves
28. Sets high standards for themselves

29. Provides the necessary resources to perform my job

29. Provides the necessary resources to perform my job
29. Provides the necessary resources to perform my job
29. Provides the necessary resources to perform my job

30. Makes good use of my skills and abilities

30. Makes good use of my skills and abilities
30. Makes good use of my skills and abilities
30. Makes good use of my skills and abilities

31. Thinks through alternatives

31. Thinks through alternatives
31. Thinks through alternatives
31. Thinks through alternatives

32. Enables me to be more effective in my job

32. Enables me to be more effective in my job
32. Enables me to be more effective in my job
32. Enables me to be more effective in my job

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Neither

 

My Supervisor:

Disagree

Agree Nor

Agree

Disagree

33. Supports the use of technology to do my job

33. Supports the use of technology to do my job
33. Supports the use of technology to do my job
33. Supports the use of technology to do my job

34. Establishes clear expectations

34. Establishes clear expectations
34. Establishes clear expectations
34. Establishes clear expectations

35. Provides the equipment I need to do my job well

35. Provides the equipment I need to do my job well
35. Provides the equipment I need to do my job well
35. Provides the equipment I need to do my job well

36. Has a clear idea of my job responsibilities

36. Has a clear idea of my job responsibilities
36. Has a clear idea of my job responsibilities
36. Has a clear idea of my job responsibilities

37. Accepts constructive criticism

37. Accepts constructive criticism
37. Accepts constructive criticism
37. Accepts constructive criticism

38. Leads by example

38. Leads by example
38. Leads by example
38. Leads by example

39. Offers me the flexibility I want

39. Offers me the flexibility I want
39. Offers me the flexibility I want
39. Offers me the flexibility I want

40. Provides me with adequate feedback

40. Provides me with adequate feedback
40. Provides me with adequate feedback
40. Provides me with adequate feedback

41. Holds me accountable for the work that I do

41. Holds me accountable for the work that I do
41. Holds me accountable for the work that I do
41. Holds me accountable for the work that I do

42. Rewards people according to their accomplishments

42. Rewards people according to their accomplishments
42. Rewards people according to their accomplishments
42. Rewards people according to their accomplishments

43. Sets challenging performance goals for my job

43. Sets challenging performance goals for my job
43. Sets challenging performance goals for my job
43. Sets challenging performance goals for my job

44. Evaluates all options before acting

44. Evaluates all options before acting
44. Evaluates all options before acting
44. Evaluates all options before acting

45. Effectively resolves department conflicts

45. Effectively resolves department conflicts
45. Effectively resolves department conflicts
45. Effectively resolves department conflicts

46. Is committed to organizational goals

46. Is committed to organizational goals
46. Is committed to organizational goals
46. Is committed to organizational goals

47. Is an effective leader

47. Is an effective leader
47. Is an effective leader
47. Is an effective leader

48. Understands our needs

48. Understands our needs
48. Understands our needs
48. Understands our needs

49. Communicates effectively

49. Communicates effectively
49. Communicates effectively
49. Communicates effectively

50. Develops innovative solutions

50. Develops innovative solutions
50. Develops innovative solutions
50. Develops innovative solutions

51. Is someone I trust

51. Is someone I trust
51. Is someone I trust
51. Is someone I trust

52. Sets a good example

52. Sets a good example
52. Sets a good example
52. Sets a good example

53. Shows an eagerness to improve

53. Shows an eagerness to improve
53. Shows an eagerness to improve
53. Shows an eagerness to improve

54. Encourages my development

54. Encourages my development
54. Encourages my development
54. Encourages my development

55. Inspires future success

55. Inspires future success
55. Inspires future success
55. Inspires future success

56. Thinks before taking action

56. Thinks before taking action
56. Thinks before taking action
56. Thinks before taking action

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FEEDBACK ABOUT MANAGEMENT

   

Neither

 

Management:

Disagree

Agree

Agree

Nor

   

Disagree

 

1. Brings out the best in employees

1. Brings out the best in employees
1. Brings out the best in employees
1. Brings out the best in employees

2. Treats employees with fairness and respect

2. Treats employees with fairness and respect
2. Treats employees with fairness and respect
2. Treats employees with fairness and respect

3. Develops appropriate solutions

3. Develops appropriate solutions
3. Develops appropriate solutions
3. Develops appropriate solutions

4. Identifies root causes of problems

4. Identifies root causes of problems
4. Identifies root causes of problems
4. Identifies root causes of problems

5. Treats employees with respect

5. Treats employees with respect
5. Treats employees with respect
5. Treats employees with respect

6. Demonstrates that employees are important to the success of the organization

6. Demonstrates that employees are important to the success of the organization
6. Demonstrates that employees are important to the success of the organization
6. Demonstrates that employees are important to the success of the organization

7. Provides a clear picture of where the organization is headed

7. Provides a clear picture of where the organization is headed
7. Provides a clear picture of where the organization is headed
7. Provides a clear picture of where the organization is headed

8. Can be trusted to make sensible decisions for the organization

8. Can be trusted to make sensible decisions for the organization
8. Can be trusted to make sensible decisions for the organization
8. Can be trusted to make sensible decisions for the organization

9. Practices what they preach

9. Practices what they preach
9. Practices what they preach
9. Practices what they preach

10. Inspires future success

10. Inspires future success
10. Inspires future success
10. Inspires future success

11. Encourages my development

11. Encourages my development
11. Encourages my development
11. Encourages my development

12. Shows an eagerness to improve

12. Shows an eagerness to improve
12. Shows an eagerness to improve
12. Shows an eagerness to improve

13. Sets a good example

13. Sets a good example
13. Sets a good example
13. Sets a good example

14. Develops innovative solutions

14. Develops innovative solutions
14. Develops innovative solutions
14. Develops innovative solutions

15. Communicates effectively

15. Communicates effectively
15. Communicates effectively
15. Communicates effectively

16. Understands our needs

16. Understands our needs
16. Understands our needs
16. Understands our needs

17. Is committed to organizational goals

17. Is committed to organizational goals
17. Is committed to organizational goals
17. Is committed to organizational goals

18. Effectively resolves department conflicts

18. Effectively resolves department conflicts
18. Effectively resolves department conflicts
18. Effectively resolves department conflicts

19. Evaluates all options before acting

19. Evaluates all options before acting
19. Evaluates all options before acting
19. Evaluates all options before acting

20. Sets challenging performance goals

20. Sets challenging performance goals
20. Sets challenging performance goals
20. Sets challenging performance goals

21. Rewards people according to their accomplishments

21. Rewards people according to their accomplishments
21. Rewards people according to their accomplishments
21. Rewards people according to their accomplishments

22. Holds employees accountable for the work that they do

22. Holds employees accountable for the work that they do
22. Holds employees accountable for the work that they do
22. Holds employees accountable for the work that they do

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Neither

 

Management:

Disagree

Agree

Agree

Nor

   

Disagree

 

23. Provides me with adequate feedback

23. Provides me with adequate feedback
23. Provides me with adequate feedback
23. Provides me with adequate feedback

24. Offers me the flexibility I want

24. Offers me the flexibility I want
24. Offers me the flexibility I want
24. Offers me the flexibility I want

25. Leads by example

25. Leads by example
25. Leads by example
25. Leads by example

26. Accepts constructive criticism

26. Accepts constructive criticism
26. Accepts constructive criticism
26. Accepts constructive criticism

27. Has a clear idea of my job responsibilities

27. Has a clear idea of my job responsibilities
27. Has a clear idea of my job responsibilities
27. Has a clear idea of my job responsibilities

28. Provides the equipment I need to do my job well

28. Provides the equipment I need to do my job well
28. Provides the equipment I need to do my job well
28. Provides the equipment I need to do my job well

29. Establishes clear expectations

29. Establishes clear expectations
29. Establishes clear expectations
29. Establishes clear expectations

30. Supports the use of technology in the workplace

30. Supports the use of technology in the workplace
30. Supports the use of technology in the workplace
30. Supports the use of technology in the workplace

31. Enables me to be more effective in my job

31. Enables me to be more effective in my job
31. Enables me to be more effective in my job
31. Enables me to be more effective in my job

32. Thinks through alternatives

32. Thinks through alternatives
32. Thinks through alternatives
32. Thinks through alternatives

33. Makes good use of my skills and abilities

33. Makes good use of my skills and abilities
33. Makes good use of my skills and abilities
33. Makes good use of my skills and abilities

34. Provides the necessary resources to perform my job

34. Provides the necessary resources to perform my job
34. Provides the necessary resources to perform my job
34. Provides the necessary resources to perform my job

35. Sets high standards for others

35. Sets high standards for others
35. Sets high standards for others
35. Sets high standards for others

36. Sets high standards for themselves

36. Sets high standards for themselves
36. Sets high standards for themselves
36. Sets high standards for themselves

37. Allows me to obtain necessary training

37. Allows me to obtain necessary training
37. Allows me to obtain necessary training
37. Allows me to obtain necessary training

38. Supports my professional development

38. Supports my professional development
38. Supports my professional development
38. Supports my professional development

39. Encourages creative and innovative solutions

39. Encourages creative and innovative solutions
39. Encourages creative and innovative solutions
39. Encourages creative and innovative solutions

40. Recognizes when I do a good job

40. Recognizes when I do a good job
40. Recognizes when I do a good job
40. Recognizes when I do a good job

41. Effectively settles disciplinary problems

41. Effectively settles disciplinary problems
41. Effectively settles disciplinary problems
41. Effectively settles disciplinary problems

42. Is well informed

42. Is well informed
42. Is well informed
42. Is well informed

43. Handles disruptive employees effectively

43. Handles disruptive employees effectively
43. Handles disruptive employees effectively
43. Handles disruptive employees effectively

44. Is open-minded

44. Is open-minded
44. Is open-minded
44. Is open-minded

45. Communicates decisions with confidence

45. Communicates decisions with confidence
45. Communicates decisions with confidence
45. Communicates decisions with confidence

46. Gives good, practical advice

46. Gives good, practical advice
46. Gives good, practical advice
46. Gives good, practical advice

47. Asks for my input to help make decisions

47. Asks for my input to help make decisions
47. Asks for my input to help make decisions
47. Asks for my input to help make decisions

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Neither

 

Management:

Disagree

Agree

Agree

Nor

   

Disagree

 

48. Recognizes employees for good work

48. Recognizes employees for good work
48. Recognizes employees for good work
48. Recognizes employees for good work

49. Challenges the abilities of employees

49. Challenges the abilities of employees
49. Challenges the abilities of employees
49. Challenges the abilities of employees

50. Explores new and exciting opportunities

50. Explores new and exciting opportunities
50. Explores new and exciting opportunities
50. Explores new and exciting opportunities

51. Expects and demands superior job performance

51. Expects and demands superior job performance
51. Expects and demands superior job performance
51. Expects and demands superior job performance

52. Evaluates performance of administrative functions

52. Evaluates performance of administrative functions
52. Evaluates performance of administrative functions
52. Evaluates performance of administrative functions

53. Fosters loyalty in employees

53. Fosters loyalty in employees
53. Fosters loyalty in employees
53. Fosters loyalty in employees

54. Applies policies and regulations fairly

54. Applies policies and regulations fairly
54. Applies policies and regulations fairly
54. Applies policies and regulations fairly

55. Develops new strategies

55. Develops new strategies
55. Develops new strategies
55. Develops new strategies

56. Considers innovative solutions to problems

56. Considers innovative solutions to problems
56. Considers innovative solutions to problems
56. Considers innovative solutions to problems

Page 6 of 7

Your Comments

What is lacking in your work environment that might help you perform better?

What would make our organization more effective?

Page 7 of 7