1. Name : 2. Age : 3. Marital Status : 4. Monthly income : 5. Education Level : . !or"ing Level : #. !or"ing E$%erience : a. &elo' 5 years ( ) *. to 1+ years ( ) c. 11 to 25 years ( ) d. a*ove 25 years ( ) ,. -our .%inion a*out 'or"ing condition a. /ery good ( ) *. 0ood ( ) c. Average ( ) d. 1oor ( ) e. Need 2m%rovement( ) 3. 4o' is your relationshi% 'ith su%ervisor5 a. 6ordial ( ) *. Moderate ( ) c. Not cordial ( ) 1+. -our level o7 satis7action on target related incentives a. Satis7actory ( ) *. Neutral ( ) c. Not satis7actory ( ) 11. -our .%inion a*out %romotional o%%ortunities a. /ery good ( ) *. 0ood ( ) c. Average ( ) d. 1oor ( ) 12. Are there any grievance handling system5 a. -es ( ) *. No ( ) i7 yes grievance are solved. a. 2mmediately ( ) *. Not immediately ( ) 13. 4o' are your co 8 'or"ers 5 a. 0ood ( ) *. 6ordial ( ) c. 6o 8 o%erative ( ) d. Not9 co9o%erative ( ) 14. Are you satis7ied 'ith 'or"ing hours5 a. -es ( ) *. No ( ) 15. Are you satis7ied 'ith accident com%ensation %aid5 a. -es ( ) *. No ( ) 1. Are there any 'el7are measures availa*le5 a. -es ( ) *. No ( ) 27 yes are you satis7ied 'ith it5 a. Satis7ied ( ) *. Not satis7ied ( ) 1#. !hat do you 7eel a*out %ay %ac"age5 a. 0ood ( ) *. Satis7actory ( ) c. Ade:uate ( ) d. Not Ade:uate ( ) 1,. Are you satis7ied 'ith :uality o7 7ood served in canteens5 a. -es ( ) *. No ( ) 13. Are your vie's as"ed in decision ma"ing 5 a. -es ( ) *. No ( ) 27 yes to 'hat e$tent you o%inion is considered a. ;re:uently ( ) *. .7ten ( ) c. Sometimes ( ) d. Not at all ( ) 2+. Are there any em%loyees suggestion scheme availa*le5 a. Satis7ied ( ) *. Not Satis7ied ( ) 21. Are you satis7ied 'ith 7acilities availa*le at rest rooms5 a. Satis7ied ( ) *. Not Satis7ied ( ) 22. -our level o7 satis7action on %romotional %olicy o7 you com%any a. 4ighly satis7actory ( ) *. Satis7ied ( ) c. Moderate ( ) d. <issatis7ied ( ) e. 4ighly <issatis7ied ( ) 23. Mention your level o7 satis7action in =o*5 a. 4ighly satis7actory ( ) *. Satis7ied ( ) c. Moderate ( ) d. <issatis7ied ( ) e. 4ighly <issatis7ied ( ) 24. 0eneral suggestion i7 any>