Questionnaire Format for Absenteeism of Employees

Below is the questionnaire format to find out the reasons of absenteeism of employees at Agron
Remedies Pvt. Ltd.
Personal Information
Name (Optional)
Age. Sex..
1) For how many years you are working with AGRON REMEDIES Pvt. Ltd.?
(a) 0-1 yr (b) 1-2 yr
(c) 2-5 yr (d) < 5 yr
2) How often you remain absent in a month?
(a) Nil (b) Once
(c)Twice (d) < Twice
3) According to you what is the main reason for employees absent?
(a) Health problem / domestic reasons (b) Stress
(c) Work dissatisfaction (d) Working environment
(e) Others (Please Specify)..
4) Your views regarding the present Absenteeism Policy of AGRON REMEDIES Pvt. Ltd.?
(a) Excellent (b) Good
(c) Fair (d) Dont know
5) Are you clear about your work / job responsibilities?
(a) Well clear (b) Good
(c) Fairly clear (d) Dont know
6) Are you satisfied with your work?
(a) Well satisfied (b) Good
(c) Fair (d) Not satisfied
7) Your views regarding the working environment of AGRON REMEDIES Pvt. Ltd. & work place?
(a) Excellent (b) Good
(c) Fair (d) Poor
8) How are your relations with your superiors / co-workers?
(a) Excellent (b) Good
(c) Fair (d) Poor
9) Your superiors behaviour towards your problems?
(a) Excellent (b) Good
(c) Fair (d) Poor
10) Your views regarding the facilities provided to you by AGRON REMEDIES Pvt. Ltd.?
(a) Excellent (b) Good
(c) Fair (d) Poor