JOB SATISFACTION SURVEY
Company division/group
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name
First Name
Last Name
Email
example@example.com
How would you rate your job satisfaction in each of the following areas?
Company's purpose and leadership
Rows
Very Poor
Poor
Average
Good
Very Good
Company's values
1
2
3
4
5
Company's mission
6
7
8
9
10
Company's vision
11
12
13
14
15
Senior leadership
16
17
18
19
20
Salary and benefits
Rows
Very Poor
Poor
Average
Good
Very Good
Salary
21
22
23
24
25
Overall benefits
26
27
28
29
30
Health benefits
31
32
33
34
35
Vacation time
36
37
38
39
40
Management and performance
Rows
Very Satisfied
Satisfied
Somewhat Satisfied
Not Satisfied
Service Quality
41
42
43
44
Overall Hygiene
45
46
47
48
Responsiveness
49
50
51
52
Kindness and Helpfulness
53
54
55
56
How would you describe your overall level of job satisfaction?
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
Do your colleagues contribute to your level of satisfaction?
Yes
No
If no, please explain
Are you satisfied by the physical working conditions?
Yes
No
If no, please explain
Do you have the resources you need to do your job well?
Yes
No
If no, please explain
Is work-related stress in balance with work accomplishments?
Yes
No
If no, please explain
Are sufficient efforts made to get opinions and feedback from the people who work here?
Yes
No
If no, please explain
Please provide additional feedback
Submit
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