Employee Satisfaction Survey Template - Families And Work Institute

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Employee Satisfaction Survey
RESET FORM
All your answers will be kept confidential!
1. Do you work:
a. Full time (40 hours/week)
b. Part time
2. Is there a manager or company support for your role as a family caregiver?
a. Yes (explain)
b. No (explain)
3. Was our caregiver and therapeutic nutrition program useful to you in your role as a family caregiver?
a. Yes (explain)
b. No (explain)
4. Please rate the following as it relates to helpfulness in your caregiver role:
1 = most helpful
1
2
3
4
5
2 = least helpful
Flexible scheduling to provide
caregiving support for loved one
Support from supervisor for
caregiving role
Support from co-workers for
caregiving role
Information from employer on
therapeutic nutrition
Understanding the health
benefits of therapeutic nutrition
Knowing the federal law that
supports family leave

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