Organizational Performance Input Form

Organizational Performance Survey

Employee Survey Process Overview:
The survey process includes a full range of questions to determine the most comprehensive picture of your total experience with the organization. Touching all of the key areas is importance because the complete experience is more than the transaction to buy the product or service. Real value to customers is created more often in these indirect activities that the only surprises that are created are pleasant ones for you.

Clicking the respective Radio button to indicate the range of disagreement to agreement with the Survey question.
(Rating 1 = Strongly Disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly Agree)

Rating Column Example
Click a Radio Button for your rating


1SD	5SA

Start Organizational Performance Survey Here:

I am rating this company or organization:

If you do not see the company name you have been invited to evaluate
call us at 910-515-2453 or E mail us for clarification

Organization location:
(type location:city, state or specific group for multi-site groups)

Your key contacts in the organization:
(optional - to provide feedback to your contacts, with your approval)

Key processes, products or services you are directly involved with:
A
B
C

What are the top three critical items of support you need to achieve your goals and be successful?
A
B
C

Anything special we need to know, to understand your perspective or basis for rating experience's?

Rate us - How are we doing as an organization to support your needs?

Question Number

Question

Rating

1.0

Materials Resources for Success


1=SD	5=SA

1.1

I have plenty of supplies to do my job well

1.2

I have the tools & equipment to do my job well

1.3

I have enough space to do my job well

1.4

My job environment allows me to concentrate well

1.5

Our job location helps us produce, serve, or sell well

1.6

Our job setting looks and feels right to our customers

1.9

We should start doing to improve support for you?

1.10

We should stop doing this it is of no value?

2.0

General Operations


1=SD	5=SA

2.1

Things are positioned for ease and productivity

2.2

Procedures and processes are clearly defined

2.3

Schedules and times for tasks are well defined

2.4

We should start doing to improve the way we work?

2.6

We should stop doing this it is of no value?

3.0

Hiring and Job Placement


1=SD	5=SA

3.1

Those hired for the team are qualified for the job

3.2

Enough people have been hired to complete the work

3.3

Best qualified persons are the ones that get promoted

3.9

We should start doing to improve the job opportunities?

3.10

We should stop doing this it is of no value?

4.0

Instructions from the organization


1=SD	5=SA

4.1

New employees get enough orientation / initial training

4.2

I clearly under organizational goals & values

4.3

Organization offers enough job related braining

5.0

Job Comfort and Satisfaction


1=SD	5=SA

5.1

Job settings and tasks don't and won't hurt my health

5.2

I enjoy the type of tasks & duties I do now

5.3

A career here will let me do the work I want to do

5.4

I have enough time to do all my responsibilities

5.5

I have adequate time for breaks

5.6

I do not have to work excessively long or often

5.7

My task are not too difficult to do

5.8

I don't have to be too precise, or orderly

5.9

Change in location, methods things isn't excessive

5.10

We are not subject to emotional or physical abuse

5.11

Others are not angry, arguing, critical, or hostile

5.12

I get competitive wages and benefits for my work

5.13

I get the wages and benefits I want / need

5.15

I like the customers I am around

5.16

I like the other employees I am around

5.17

My job location is convenient and meets my needs

5.18

My job setting looks and feels good to me

5.19

As long as I work well, I can have a good job here

5.20

Ferns / Family are positive about my job & company

5.21

Overall, I am happy and contented with my job here

5.22

We should start doing to improve your satisfaction?

5.23

We should stop doing this it is of no value?

5,24

Any other comments or thoughts?

OPTIONAL - Not Required
Survey Contact information for follow-up

First Name

Last Name

Title

Your Company Name

Company Address

City

State

Zip

Telephone

Fax

E mail Address

Website Address

Confidentiality - Your personal is consolidated with all the responses and is not traceable to you, unless you give us permission to share it with the organization sponsoring the survey
Can we share your feedback from the survey?

Availability to contact me,
follow-up questions or clarification)

Best method and time for follow-up contact?

How would you rate the overall survey experience?

The Survey is complete.

We appreciate for you time and input.
Thanks

Submit to CAPTech Survey Coordinator:

www.captechvipservices.com
CAPTech International Inc.
Customer Satisfaction Survey Support Services
Any questions, feel free to call us at Tel 910-515-2453 or Click here to E-mail us.