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* 1. What is your gender?

  Female Male
Gender

* 2. How many years have you been working in this organization?

  Less than 1 year 1-2 years 2-5 years 5-10 years 10-20 years more than 20 years
Service length

* 3. What is your current level in the organization?

  Senior Manager Manager Supervisor Group Leader
Level

* 4. On a scale of 1-10 (1 low and 10 high) give your opinion on the general level of trust in your current organization.

  1 2 3 4 5 6 7 8 9 10
Trust Level

* 5. How secure do you feel in terms of continued employment here (1 very insecure, 10 highly secure)

  1 2 3 4 5 6 7 8 9 10
Secure in employment

* 6. On a scale from 1-10 how much do you trust your current supervisor? (1 no trust, 10 very high trust)

  1 2 3 4 5 6 7 8 9 10
Trust supervisor

* 7. How much does your supervisor trust you? (1 no trust, 10 very high trust)

  1 2 3 4 5 6 7 8 9 10
Supervisor trusts me

* 8. For the following positive statements, please select the one response that best describes your observations about your organization.

  Never Rarely Usually Frequently Always
Managers here are highly ethical
My supervisor acts in a way that is in my best interest
Managers provide honest communication
My peers treat me with respect
I can speak my truth without any fear of reprisal
I enjoy the culture at work
People here are held accountable
My supervisor admits mistakes
My boss lets me know how I am doing
I am reinforced when I do good work
My supervisor sees me face to face
People here use the Golden Rule
My supervisor keeps promises
We adhere to our values
My boss has integrity
Compensation here is fair

* 9. For the following negative statements, please select the one response that best describes your observations.

  Always Frequently Sometimes Rarely Never
Managers and supervisors here play favorites
There is too much stress here
Sometimes I feel bullied by my boss
Leaders here take advantage of people
The atmosphere is oppressive
There is too much change - no stability
I am afraid of being laid off
You cannot trust people here
Some people play politics
My peers do not value me
People here do not care about anything
There are too many slackers
If you speak up you get punished
People here will stab you in the back
Report a problem

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