Date: _______________ Control Number: ___

Dear Respondents:
Please take time to answer this questionnaire as careful and truthful as you can.
Rest assured that any information you supply will be treated with greatest confidentiality
and anonymity.

QUESTIONNAIRE

Name (Optional): ___________________________________ Position:

___________________

Part I: Personal Profile

Please write down the required information on the following blanks.
1.1 Age: 1.4 Educational Attainment (If college,
_______________ specify course degree)
1.2 Sex:
_____________________________
_______________
_____
1.3 Civil Status:
1.5 Job Position Level:
_______________
_________________
1.6 Tenure of Service in the Company:
______
Part II: Level of Employee Job Satisfaction in the Company
Please assess your level of satisfaction in your company using the following indicators.
Put a check mark on the space that corresponds to your answer.
5 Very Satisfied
4 Satisfied
3 Somewhat Satisfied
2 Less Satisfied
1 Not Satisfied

Areas of Satisfaction Level of Satisfaction

5 4 3 2 1
2.1 Compensation and Benefits
Salary/Pay
Overtime Pay
Health Benefits
Allowance and Incentives
Fringe Benefits
Vacation Leave
Sick Leave
2.2 Job Security
Tenure in the Company
Separation Pay Plan
2.3 Promotions and Career Development
Professional Advancement
Personal Growth
Job Enrichment Program (e.g. seminars,
training and others)
2.4 Management
Leadership and capability of immediate
supervisor
Implementation of the office policies and
standard operating procedures
Procedures in handling grievances and
problems
Practices equal treatment of subordinates
Shows positive reactions for suggestions
 Communication with your supervisor
2.5 Working Environment
Geographical Locations
Interpersonal Relationship with Co-workers
Facilities and Equipment
Workspace/Workstations
Room Lighting and Ventilation