Editing

ATTENDANCE SURVEY Employee Feedback Survey Researcher LATISKA HEARN

Please print gender below.

Male/Female Department #

Site Name Employee Entrance/Material Department

Researcher Evaluation Instructions

Please answer each question below with a sentence that may apply to your current situation that may prevent you from reporting to work.

1. What can we do as a team to help support in weeks and months to come? 2.      Is your absenteeism related to work –related health issues? 3.      Is your absenteeism related to your current shift designation? 4.      Is your absenteeism related to a relationship issue in the workplace? (TM, TL, BUL, etc.?) 5.      On your current job what can we do to assist in job quality? 6.      Is your absenteeism related to transportation challenges? 7.      Is there anything that should be addressed as a team to support each other in daily challenges that may occur? 8.      Are you aware of our Employee Assistance Program? They may be of assistance.

Researcher: Thank you for completing this survey, we appreciate the feedback you have provided to us. Your efforts provide us with valuable insights into areas to improve. You can return the survey to Latiska Hearn.

ResearcherSignature:_____________________________________________________Date: _______________