© 2016 ALL RIGHTS RESERVED

This is an anonymous survey intended to determine the level of trust within a group and uncover which areas of trust are particularly strong or which ones need some work. It is short and painless.  Please try to be as objective as you can with responses.

Question Title

* 1. Estimate the general level of trust in this group on a scale of 1-10.   (1 being very low trust and 10 being extremely high trust)

  1 2 3 4 5 6 7 8 9 10
Trust within this group

Question Title

* 2. How safe do you feel to express your thoughts without fear of feeling put down?  (1 is unsafe and 10 means never a problem at all)

  1 2 3 4 5 6 7 8 9 10
Safe to express thoughts

Question Title

* 3. For the following positive statements check the one box that best applies in your judgment. (Note: good is to the right)

  Never Rarely Occasionally Often Frequently Always
People here treat others with respect
You can trust others to do what they say
We communicate honestly in this group
We hold each other accountable
Motivation is high in this organization
I feel valued when I am with these people
People here admit their mistakes freely
We use the Golden Rule in this group
We always act like adults in this group
We always adhere to our values
People here support each other visibly

Question Title

* 4. For the following negative statements, give the answer for your group that you feel is the most appropriate. (Note the scale has been reversed so good is still to the right)

  Always Frequently Often Occasionally Rarely Never
Some people are given preferential treatment here
There is too much stress
There are some bullies in our organization
People are taken advantage of in this group
The atmosphere here is oppressive
There is too much change here
I do not fully trust people here
There is too much politics
A few "doers" do all the work
If you speak up you will get punished in some way
There are too many cliques here
Pay is an issue in this organization

Question Title

* 5. What actions might improve the level of trust here?

Question Title

* 6. What types of things are important to establishing trusting relationships?

T