We would appreciate you taking the time to answer the following questions as honestly as possible. Your responses are treated as confidential, and will not become a part of your personal file. We believe that the information is of vital importance and will assist in analyzing our employee retention and turnover. Thank you for your cooperation!

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* 1. Employee name (not required):

What did you think of your supervisor regarding the following questions:

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* 2. Demonstrated fair and equal treatment

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* 3. Provided recognition on the job

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* 4. Developed cooperation and teamwork

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* 5. Encouraged/listened to suggestions

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* 6. Resolved complaints and problems

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* 7. Followed policies and practices

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* 8. Comments:

How would you rate the following in relation to your job:

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* 9. Cooperation within your department

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* 10. Cooperation with other departments

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* 11. Communications in your department

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* 12. Communications within the company as a whole

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* 13. Communications between you and your manager

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* 14. Morale in your department

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* 15. Job satisfaction

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* 16. Training you received

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* 17. Growth potential

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* 18. Was your workload usually:

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* 19. Comments:

How did you feel about your salary and the employee benefits offered:

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* 20. Base salary

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* 21. Medical plan

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* 22. Dental plan

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* 23. Vision plan

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* 24. 401K plan

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* 25. Life insurance

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* 26. Paid time off

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* 27. STD/LTD plan

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* 28. Stock options

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* 29. Comments:

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* 30. How frequently do you have discussions with your manager about your career goals?

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* 31. What do you like most about your job and/or this company?

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* 32. What do you like least about your job and/or this company?

Thank you for taking the time to complete this survey. If you have any questions, please contact Jen Fackelman at jenfackelman@apeaceofmindwellness.com

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