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Work Force Survey

Completing this survey helps you clarify and prioritize your employee concerns.
Respondents receive a summary report via e-mail including possible suggestions
and strategies for your consideration. This survey is free.  We can design
customized employee opinion surveys to follow-up your concerns.  Customized
Employee Opinion Surveys cost $10 per employee to administer and score.

First Name:
Last Name:
Company Name:
Type of Business:
Job Title:
Number of Employees:
Phone:
Fax:
E-Mail:
Mailing Address:
City:
State:
Zip:


What are your three most important ongoing employee
related problems?
Hold down the Ctrl key and click
your mouse to select each item.

Please provide details, context or important background
information below.

If you could eliminate one of these problems which
would you choose first?

Why was your first choice selected?


How have you attempted to fix the problem?


What were the results of the previous attempts?



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