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You can fill out this questionnaire and submit the results for evaluation or print out the .PDF version and mail it in instead.
Print out the Worker QuestionnaireDownload for Printing

1. I look forward every day to getting up and going to work.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
2. In your “best-face response,” estimate the time you spend “goofing off” while at work:
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
3. I always notice if my co-workers have, or have not, brough their own "A" games to work.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
4. I regularly get a minimum of 7 hours of sleep a night during the work week.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
5. I regularly get three square meals a day during the work week.
Very much like me
Somewhat like me
Neutral
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Very unlike me
6. I regularly bring a "smile" to work.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
7. I make an effort to get to know my co-workers.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
8. I'm comfortable disclosing part of who I am, in an appropriate time, place and manner at work.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
9. I bring something "new" to team meetings every time we meet.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
10. I can and do challenge, in a polite and appropriate manner, someone else's views in most team meetings.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
11. I am quite familiar with the unwritten, unstated "rules" of our particular workplace.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
12. I regularly take the initiative to meet and greet new workers when they join our workplace.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
13. I regularly help new people get to know the general workplace expectations, in addition to the supervisor's expectations.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
14. Whenever I have a few moments, I look around for any potential problems that could be avoided.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
15. I generally consider it part of my job to "help everyone do his/her job more easily.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
16. I willingly console/comfort and ailing, sad, withdrawn or grieving worker when I notice someone in such a state.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
17. I regularly share my own funny moments in the workplace.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
18. I regularly stop and really listen when a co-worker pauses to share a moment with me.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
19. I regularly feel fully present with all the present with whom I interact during the day.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
20. When someone I work with makes me feel uncomfortable, I'm honest about it and try to work out a way for us to work together effectively.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
21. I regularly complain about my co-workers behind their backs.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
22. I regularly complain about supervisors behind their backs.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
23. In general, I have a strong feeling of trust in my co-workers.
Very much like me
Somewhat like me
Neutral
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Very unlike me
24. In general I have a strong feeling of trust in my supervisors.
Very much like me
Somewhat like me
Neutral
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Very unlike me
25. In general, I trust the company/organization to take steps to "care" for every worker in all situations
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
26. I do believe that the self-esteem and self-confidence of every worker is an important company/organization value, where I work.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
27. I have a full knowledge and appreciation of the stated company "values".
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
28. I know and understand the implications of the company's vision/mission statements for my specific job.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
29. I indicate a need for my personal training/orientation whenever I sense that I need some, to a person who can do something about meeting my need.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
30. I have a picture in my mind of working here:
For the next 3 years
For the next 5 years
For the next 10 years
Other:
31. I am working where I work until something better comes along.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
32. "Something better" will mean:
Better wages
Better benefits
More freedom/trust for workers
Better learning/growth opportunities
A more humane/human workplace
Management/worker teambuilding
All choices listed
Other:
33. I would recommend my workplace to a genuine friend, to seek employment here.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
34. I talk about my workplace after hours as a great place to work with great people.
Very much like me
Somewhat like me
Neutral
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Very unlike me
35. I talk about my workplace after hours as having fairly enlightened management
Very much like me
Somewhat like me
Neutral
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Very unlike me
36. I feel that I have grown in a way that I am proud of, through my association with this workplace.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
37. I feel that my workplace is a fairly good place to learn the skills I need and want.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
38 I often feel that the leadership is stagnating with yesterday's modus operandi.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
39. I often mention to others after hours that this used to be a good place to work but now I can hardly wait to get out of here.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me
40. I have learned new work-related skills in this specific deployment.
Very much like me
Somewhat like me
Neutral
Unlike me
Very unlike me

 

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The Acorn Centre
35 Albert Street
Gananoque, ON K7G 1N5
Phone: 613-381-2121
Toll Free: 1-866-511-GROW