Innovation Survey

Use the following rating scale and circle the number which best suits your opinion according to the given scale:
1 = Strongly disagree
2 = Disagree
3 = Slightly disagree
4 = Slightly agree
5 = Agree
6 = Strongly agree
1. My attitude towards my jobs is very positive

2. Upper management gives me creative freedom when it

comes to my job

3. I get many opportunities to prove my abilities and be

considered for Promotion

4. My supervisor always helps me to grow professionally

5. My supervisor has reasonable expectations of my work

6. I can openly communicate with upper management

7. I have a desire to improve work practices

8. I am always looking for another job outside of the

company

9. I often feel like calling in sick to avoid going to work

10. I feel nervous at work about making the right decision

11. I have witnessed a change in work practices within

the last year

12. I feel like I am a part of the team at my workplace

Please identify your gender:

Male

Female

Rather not say

How old are you?

18-29 years old 30-49 years old 50-64 years old

What is your current work status?

Full time

Part time
How long have you worked in your current position:

Less than 6 months 6 months to a year Over a year

65 years or above

Has there been a time where you could have helped streamline a process, develop a solution but did not say
anything for fear it would cause more work? Be ignored?
__________________________________________________________________________
__________________________________________________________________________
Are people in your organization rewarded for creativity and innovation?
__________________________________________________________________________
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