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* 1. Identify Gender

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* 2. Which best describes your position?

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* 3. What is your age group?

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* 4. Employment Status

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* 5. Communication: Usually I understand why most things are done a certain way in my department

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* 6. Communication: I know what is expected of me at work

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* 7. Rate the work information you receive from the source: Talking with my supervisor

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* 8. Rate the work information you receive from the source: Group Meetings/Co-Workers

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* 9. Rate the work information you receive from the source: Memos and/or newsletters printed on paper

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* 10. Rate the work information you receive from this source: Electronic mail, voicemail, web

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* 11. Customer Service: We routinely talk to our customers about the quality of our work and how satisfied they are with our services

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* 12. Customer Service: When customers are not satisfied with our services, we do something to correct the situation immediately

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* 13. Customer Service: My job challenges me to do my best for our customers

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* 14. Decision Making: I am satisfied with the way decisions are made in my department

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* 15. Decision Making: People who look for new and better ways of doing things are respected and rewarded in my department

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* 16. How often?: Decisions are made by discussing them with everyone and arriving at a solution with which everyone agrees

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* 17. How often?: Decisions are made by the manager or supervisor mostly without consulting employees

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* 18. How often?: Decisions are made by the manager or supervisor after consulting a few employees

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* 19. Leadership: Leaders in my department talk about how future changes will affect how we will do our work

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* 20. Leadership: I am receiving the leadership I need for the type of work I perform

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* 21. Leadership: Leaders in my department encourage employees to make recommendations to management

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* 22. Morale: My usual day at work is challenging and exciting and I am proud of the work I do

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* 23. Morale: The work atmosphere helps me do a good job

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* 24. Morale: Work is distributed fairly among the people with whom I work

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* 25. Morale: In the past seven days, I have received recognition or praise for doing a good job

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* 26. Morale: There is someone at work who encourages me

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* 27. Morale: At work my opinion counts.

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* 28. Most important to you: My salary

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* 29. Most important to you: My benefits

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* 30. Most important to you: Knowing I did a good job

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* 31. Most Important to you: Being told I did a good job

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* 32. Most Important to you: Reward and Recognition

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* 33. Performance Management: My supervisor has a clear understanding of my skills and abilities.

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* 34. Performance Management: I receive written performance evaluations that hold me accountable and responsible for my work.

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* 35. Performance Management: I am satisfied with how I am told about my performance throughout the year.

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* 36. Performance Management: If I have a problem doing my job, I know that my supervisor will help me solve it.

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* 37. Performance Management: I usually get along well with my supervisor.

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* 38. Performance Management: In the past six months, someone has talked to me about my progress.

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* 39. Performance Management: I have the materials and equipment to do my job.

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* 40. Performance Management: I have the opportunity to do my best everyday.

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* 41. Teamwork: Everyone in my department contributes to a team effort in getting our work done.

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* 42. Teamwork: I feel that I am part of a team.

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* 43. Teamwork: I have received training on how to work effectively as part of a team.

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* 44. Teamwork: When working on a team, the team members accept differences of opinions and still commit themselves to work together.

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* 45. Teamwork: My co-workers are committed to doing quality work.

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* 46. Training and development: I have received training to know how to perform my job well.

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* 47. Training and Development: In the past year, I have had opportunities to grow and learn.

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* 48. Office Facilities Support Activities?: Chair

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* 49. Office Facilities Support Activities?: Desk Space and Furniture

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* 50. Office Facilities Support Activities?: Storage Space

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* 51. Office Facilities Support Activities?: Circulation Space

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* 52. Office Facilities Support Activities?: Layout

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* 53. Office Facilities Support Activities?: Formal Meeting Rooms

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* 54. Office Facilities Support Activities?: Reading/Quiet Areas

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* 55. Office Facilities Support Activities?: Video Conferencing

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* 56. Office Facilities Support Activities?: Café/Gymn

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* 57. Office Facilities Support?: Computer/Software

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* 58. Office Facilities Support Activities?: Printers/ Peripherals

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* 59. Office Facilities Support Activities?: Fax/Copier Facilities

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* 60. Office Facilities Support Activities?: Informal Meeting Space

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* 61. Office Facilities Support Activities?: Telephone System

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* 62. Office Facilities Support Activities?: Network email

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* 63. Office Facilities Support Activities?: Mailpost Services

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* 64. Office Facilities Support Activities?: Cleaning Services

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* 65. Office Facilities Support Activities?: Security

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* 66. Office Facilities Support Activities?: Overall Office Facilities

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* 67. In general, approximately how much is your performance at work increased or decreased due to the current office facilities?

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* 68. Identify three of the below facilities you consider to be the most important to "get right" so that you can work better.

  1st Most Important 2nd Most Important 3rd Most Important
Chair
Desk Space and Other Furniture
Storage Space
Circulation Space
Layout
Formal Meeting Rooms
Reading/Quiet Areas
Informal Meeting Space
Video Conferencing
Café/Gym
Computer/Software
Printers/Peripherals
Fax/Copier Facilities
Telephone System
Network/email
Mailpost Services
Cleaning Services
Security

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* 69. Environmental Conditions Support Activities?: Indoor Temperature in winter

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* 70. Environmental Conditions Support Activities?: Indoor Temperature in summer

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* 71. Environmental Conditions Support Activities?: Air movement in winter (draught)

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* 72. Environmental Conditions Support Activities?: Air movement in summer (breeze)

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* 73. Environmental Conditions Support Activities?: Ventilation (freshness/ stuffiness)

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* 74. Environmental Conditions Support Activities?: Indoor air quality (odors, etc.)

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* 75. Environmental Conditions Support Activities?: Noise from telephone/ equipment

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* 76. Environmental Conditions Support Activities?: Noise from talking/ movement

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* 77. Environmental Questions: Noise from outside

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* 78. Environmental Conditions Support Activities?: Privacy from being seen & overheard

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* 79. Environmental Conditions Support Activities?: Electrical Lighting

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* 80. Environmental Conditions Support Activities?: Daylight

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* 81. Environmental Conditions Support Activities?: Glare

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* 82. Environmental Conditions Support Activities?: Aesthetics - art, color, plants, etc.

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* 83. Environmental Conditions Support Activities?: Overall Environmental Conditions

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* 84. In general, approximately how much is your performance at work increased or decreased due to the current environmental conditions?

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* 85. Identify three of the below environmental factors you consider to be most important to "get right" so that you can work better.

  1st Most Important 2nd Most Important 3rd Most Important
Indoor Temperature in winter
Indoor Temperature in summer
Air Movement in winter (draught)
Air Movement in summer (breeze)
Ventilation (freshness/stuffiness)
Indoor air quality (odors, etc.)
Noise from telephone/equipment
Noise from talking/movement
Noise from outside
Privacy from being seen & overheard
Electrical Lighting
Daylight
Glare
Aesthetics- art, color, plants, etc.

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* 86. Work Duties: When in your normal work location, approximately what percentage of your work time do you spend carrying out the following activities during a typical day, e.g. 10% = 10, 0% = 0?

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* 87. Downtime Factors: Estimate the amount of your work time that you consider is wasted per week (if any) due to the following factors. Please give answer in minutes, e.g. 1 hour is 60 or 0 hours is 0.

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* 88. Workplace Activities: How satisfied are you that the environmental conditions and facilities support your ability to conduct the following specific work activities?

  Very Dissatisfied Dissatisfied Indifferent Satisfied Very Satisfied
Being creative at work
Conducting quiet work and concentrating
Working on a PC/VDU
Meeting deadlines
Minimizing errors
Holding informal meetings
Holding formal meetings
Holding private face to face conversations
Holding telephone conversations
Video or audio conferencing
Team working

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* 89. Workplace Activities: Which type of space do you sit in most of the time when in the office?

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* 90. Workplace Activities: How many hours per week do you (e.g. 0 = 0 hours, 40 = 40 hours)

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* 91. Which entity are you employed?

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* 92. Provide Overall/Final Comments

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