1. Name :

2. Gender :

i.Male [ ]

ii.Female[ ]

3. Age :

i.19-25 [ ]

ii.26-30 [ ]

iii.31 and above[ ]

4. Edicational qualification: i.Higher secondary[ ] ii.Diploma [ ] iii.Under graduate [ ] iv.Post graduate [ ]

5. Marital status: i.Married [ ] ii.Unmarried[ ]

6. Are you aware of the various committees that redress the grievance? i.Yes[ ] ii.No[ ]

7.Agree[ ] iii.Co-worker[ ] ii.No[ ] 10.In case the grievance has to be immediately redressed to whom do you communicate? 11. Is there any informal channel to redress your grievance such as i. Are you aware of the members of the various committees? i. If yes for above question kindly list out the various committees available 8. . Is the real basis of your problem identified? i. please specify( ) 12.No[ ] 9.Strongly agree[ ] ii.Disagree[ ] .If others.Yes[ ] ii.Yes[ ] ii.Peer[ ] iii. Are you aware of the weekly/monthly meetings of the various committees which are being held? i.

Listens patiently[ ] ii.iv.Does not listen at all[ ] 14.Seldom being informed [ ] iii.Yes[ ] ii.Yes[ ] ii.No[ ] . Are you constantly informed on what is being done about your grievance? i. Does your higher authority listen when your grievance is presented? i.Strongly disagree[ ] 13.Shouts at you[ ] iii. Is there a positive and friendly approach during grievance handling? i.Does not inform at all [ ] 16.Very often being informed[ ] ii. Is imporatance given to what is right rather than who is right? i.No[ ] 17.No[ ] 15.Yes[ ] ii. Is an atmosphere of cordiality and co-operation facilitated through mutual discussion and conference? i.

Strongly disagree[ ] 19. Agree[ ] iii.Moderately satisfactory[ ] iii. Has the mechanism being followed resolves you grievance? i. Is there regular follow up to ensure that the right decision has ended up in satiafaction? i.Yes[ ] ii. Disagree[ ] iv.Highly satisfactory[ ] ii.18. Is there a spirit of give and take and sharing and working together? i.No[ ] 21. Do you feel that discussion and conference is given more importance rather than executive authority? i. Strongly agree[ ] ii.No[ ] .No[ ] 20.Yes[ ] ii.Yes[ ] ii.No satisfaction[ ] 22. How do you feel about the decision given corresponding to your grievance? Is it i.

No[ ] 25.Very highly skilled[ ] ii.No[ ] 24. Do the various committee members actively engage in resolving your problem? i.No[ ] 26.Yes[ ] ii. Do you feel that the supervisor possesses necessary human relation skills in terms of understanding your problem? i.Yes[ ] ii. Is there any temporary relief provided until proper decision is made so that it does not raise any adverse effects within the organization? i.Not skilled[ ] .Yes[ ] ii.No[ ] 27. Do you feel open to share your grievances? i.23. If the decision is not satisfactory are you given opportunity to take it to hjgher officials? i.Moderately skilled[ ] iii.Yes[ ] ii.

28.Not kept confidential[ ] 29. Are the matters relevant to the grievance kept confidential? i.No[ ] .Difficult to utilize[ ] 30. Are proper records maintained on each grievance? i.Has given authority[ ] ii. Is the supervisor given authority to take action necessary to resolve the problem? i. Are the procedures for conveying grievance simple and easy to utilize? i.Very simple[ ] ii.Yes[ ] ii.highly confidential[ ] ii.Does not have authority[ ] 31.

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