needs assessment

Appendix B (Use this survey OR design your own based on Lecture 1)

Please take a few moments to complete this survey which is used to help analyze areas for organizational improvement. You may also send written comments to (insert email address). Pu the words “Survey Comments” in the subject line. To ensure confidentiality your responses and comments will be anonymously compiled. You will be notified of the findings as well as anticipated action plans. Please return to (insert Point-of-Contact) by date.

THANK YOU!

0 = don’t know or inapplicable; 1 = strongly disagree; 2 = disagree; 3 = neither; 4 = agree; 5 = strongly agree

Regarding your job… DK SD D Neither A SA

1. My job requires a lot of different skills 0 1 2 3 4 5

2. I have received adequate training in

a. Technical areas 0 1 2 3 4 5

b. Team relations/communications 0 1 2 3 4 5

c. Stress, time and change mgmt. 0 1 2 3 4 5

d. Company status/economics 0 1 2 3 4 5

3. I receive adequate

a. Performance feedback 0 1 2 3 4 5

b. Recognition for efforts and results 0 1 2 3 4 5

4. I am free to make decisions RE: my work 0 1 2 3 4 5

5. I enjoy my work most of the time 0 1 2 3 4 5

6. I am one of the best at my job 0 1 2 3 4 5

Regarding your department…

7. We frequently use the word “we” 0 1 2 3 4 5

8. We have a clear team mission and goals 0 1 2 3 4 5

9. We celebrate when we achieve our goals 0 1 2 3 4 5

10. We constantly improve and innovate 0 1 2 3 4 5

11. We are encouraged to

a. Share information 0 1 2 3 4 5

b. Take risks 0 1 2 3 4 5

12. Our team leader knows how to lead 0 1 2 3 4 5

13. We are a great team 0 1 2 3 4 5

Regarding the company/organization…

14. Our company values what I value 0 1 2 3 4 5

15. Our company’s plans are known to me 0 1 2 3 4 5

16. Our competitive standing is known to me 0 1 2 3 4 5

17. Our compensation and benefits are fair 0 1 2 3 4 5

18. Our execs & mgrs. lead and manage well 0 1 2 3 4 5

19. Diversity and individuality characterize us 0 1 2 3 4 5

20. This is a wonderful place to work 0 1 2 3 4 5

Optional…

A. Number of years in this position <1 1 – 2 3 - 4 5 - 6 >7

B. No. of previous jobs doing this type of work <1 1 – 2 3 – 4 5 – 6 >7

C. No. of years with this organization <1 1 – 2 3 – 4 5 – 6 >7

D. No. of years you plan to stay here <1 1 – 2 3 – 4 5 – 6 >7

E. No. of years total paid work <1 1 – 2 3 – 4 5 – 6 >7

F. No. of years of education beyond high school <1 1 – 2 3 – 4 5 – 6 >7

THANK YOU!