Professional Documents
Culture Documents
Dear Respondents,
PERSONAL DATA
1. Name :
2. Age : *
3. Gender : *
Male [ ]
Female [ ]
4. Educational Qualification : *
SSLC [ ]
PLUS TWO [ ]
UG/DEGREE [ ]
PG/MASTER DEGREE [ ]
OTHERS [ ]
5. Salary : *
Below 5,000 [ ]
5,001-10,000 [ ]
10,001-15,000 [ ]
Above 15,001 [ ]
Below 5 Years [ ]
5-10 Years [ ]
10-15 Years [ ]
Above 15 Years [ ]
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]
8. How would you rate the toilet facilities provided by the Organization? *
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]
9. How would you rate the restroom facilities provided by the Organization? *
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]
10. How would you rate the Cleanliness maintained in the Organization? *
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]
11. How would you rate the ventilation and room temperature maintained at the
workplace? *
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]
12. How would you rate the lighting of workplace in the Organization? *
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]
13. How would you rate the maintenance of buildings and other infrastructures in the
Organization? *
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]
14. How would you rate the transportation facilities provided by the Organization? *
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]
15. How would you rate the insurance facilities provided by the Organization? *
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]
16. How would you rate the flexibility of working hours provided by the Organization? *
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]
17. How would you rate the ESI facilities provided by the Organization? *
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]
18. How would you rate the location of the canteen in the Organization? *
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]
19. How would you rate the taste & quality of food provided by the canteen in the
Organization? *
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]
20. How would you rate the cleanliness at canteen in the Organization? *
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]
21. How would you rate the first aid facilities provided by the Organization? *
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]
22. How would you rate the quality of safety equipment provided by the Organization?
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]
23. How would you rate your own safety while performing work at workplace in the
Organization? *
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]
24. How would you rate your level of satisfaction from the salary provided by the
Organization? *
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]
25. How would you rate your overall experience at the Organization? *
Highly Satisfied [ ]
Satisfied [ ]
Moderately Satisfied [ ]
Dissatisfied [ ]