Team Health Improvement
Please select the appropriate demographics.
Demographics - Select all that apply: D1 - Race - Select ONLY ONE item: White Black/African American Hispanic/Latino API/Asian Pacific Islander NAA/Native American or Alaskan Native O/Other multi-racial designations
D2 - Gender - Select one: Male Female
D3 - Age - Select ONE range: 18 - 30 31 - 44 45 - 61 62+
D4 - Tenure - Select ONE - (years of service): 0 - 5 6 - 10 11 - 15 16+
D5 - Staff Position (Select ONE): Management Non-Management Contractor Executive Leadership
D6 - Educational Level: High School, or Equivalent, Associate Undergraduate, Graduate Certificate, License:
1. Employees can solve seemingly related problems without referring the problem to other people.DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
2. Our working relationships with contractor personnel are effective. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 -- 6 - 7 - 8 - 9 AGREENo Response Comments:
3. People can find the supplies they need to be productive. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
4. I have the equipment I need to do the work expected of me. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
5. I feel that I can express my opinion without fear of negative consequences. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
6. I am satisfied with my involvement in decisions that affect me. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
7. My job allows me to have a reasonable balance between my work life and my personal life. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
8. People cross functional boundaries effortlessly to get the job done. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
9. Employees feel a strong sense of commitment to remain with this organization. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
10. Leadership in my organization fosters healthy informal relationships to improve the organization culture. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
11. People in my work unit cooperate well and disagreements are resolved quickly. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
12. People must be liberated from current and past suffering and receive favored treatment in the future as compensation. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
13. I have received recognition or praise for doing good work.DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
14. My supervisor, or someone at work seems to care about me as a person. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
15. Those needing information get it in time to meet deadlines. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
16. Information provided to me is reliable. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
17. Advancement is based more on skills and abilities than on any other consideration. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
18. My morale is high. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
19. I would report an incident of harassment or discrimination to management, if I observed it.DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
20. I have the opportunity to do what I do best every day. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
21. Team membership crosses organizational boundaries.DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
22. My organization provides for promotion opportunities. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
23. I understand how to transfer from one part of the organization to another. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
24. People are held accountable for the work they are expected to do. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
25. Employees feel free to level with one another and not hide true feelings or opinions. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
26. My supervisor applies discipline appropriately and professionally. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
27. I am considering leaving in the next 12 months (do not include retirement or relocation). DISAGREE 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 AGREENo Response Comments:
28. Top management is willing to commit resources to improve the organization's effectiveness. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
29. Employees are organized into groups that are optimally responsive to the organization's needs. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
30. Family responsibilities, such as caring for children or aging parents, do NOT seem to impact advancement or job assignments. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
31. Performance appraisals are effectively focused. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
32. I am comfortable that employees working with me possess the necessary skills. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
33. My leadership lets me do the job I know I have to do to succeed. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
34. People share expectations of each other in a non-conflicting way. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
35. Employees can easily go to their supervisor with bad news. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
36. Procedures are formalized to assure they can be repeated successfully when needed. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
37. Information does flow quickly to supervisors when things are not going well. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
38. I would NOT face retaliation on the job for filing a complaint or grievance. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
39. Work areas are conducive for confidentiality. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
40. Favoritism does NOT seem to play a significant role in selection for job opportunities. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
41. People in one work group help people in another work group solve problems when appropriate. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
42. In my opinion equal consideration is given to all employees. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
43. People treat each other with respect. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
44. Co-workers avoid negative behaviors (finger-pointing, bickering, stonewalling, etc.).DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
45. My supervisor treats all employees with dignity and respect. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
46. Decisions are consistent across the organization. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
47. If I have a problem I can discuss it freely with my supervisor. DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
48. My supervisor is prepared to take action if performance does not change.DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREENo Response Comments:
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