Quality of WorkLife Survey


Please select the appropriate demographics.

Click Reset to clear form:

Name of Organization:

Position Description:



Time Status:

Full Time
Part Time

Shift:

Day
Evening
Night
Weekends
Rotating

Length of Service:

Less than 1 year
1 to 3 years
Over 3 years to 7 years
Over 7 years to 10 years
Over 10 years to 20 years
Over 20 years

Leadership and Management Authority:

Have no official leadership, management or supervisory authority
Front-line
Middle
Senior



Complete all survey items by "clicking" the appropriate number following each item.
Provide narrative on any item
.

Please notice that the selection "button" follows the appropriate number response.

This Survey can be printed out, completed, and returned to
QWLC in a Business Reply Envelope, or
completed on line by clicking "Submit" once all responses are selected.


The response scale ranges from zero to nine (012 3456 789). "Click" on a single number to respond - a zero if you totally DISAGREE with the statement, a nine if you totally AGREE with the statement, or any number between that reflects your response level. You have an option to "click" NO Response/Don't Know if you do not have a response. Please think carefully and use this option sparingly.


1. Information is distributed to the organization accurately and in a timely manner.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


2. My work space is conducive to the type of work I am expected to perform.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 -- 6 - 7 - 8 - 9 AGREE

No Response

Comments:


3. I am confident that management decisions are made with everyone's best interests in mind.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


4. My work environment is secure.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


5. My organization is well accepted in our community.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


6. There is a clear, shared organization vision.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


7. The current organization structure is responsive to the needs and wants of our customers.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


8. Decisions are consistent across the organization.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


9. Written guidance is readily available to assist me in understanding how to do my job.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


10. Policies are clearly written so that they can be understood.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


11. People get feedback readily that will let them know how they are doing on the job.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


12. There is an atmosphere where people freely provide information to those who need it without regard to an "ownership" issue.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response
Comments:


13. Current equipment is adequate to accomplish the assigned mission.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


14. There is high cooperation between work groups.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


15. Employees understand what is expected of them.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


16. I am confident that I am sufficiently trained to perform the duties of my position.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


17. My thoughts are solicited on the acquisition of new items of equipment.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


18. People are rewarded in some way for performing exceptionally well.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


19. My organization places value on good customer relations.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


20. People are held accountable for the work they are expected to perform.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


End Comments

What is the #1 issue that needs to be addressed?




Additional Comments:




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