Reports

Values and Beliefs

1. My organization practices a commitment to excellence.
   Responses:
   • No responses.
2. My work aligns with the agency’s mission and vision.
   Responses:
   • No responses.
3. My contributions to the organization are appreciated.
   Responses:
   • No responses.
4. I am satisfied with my organization’s well-being support programs.
   Responses:
   • No responses.
5. My immediate work colleagues are supportive of each other.
   Responses:
   • No responses.
6. The mental health needs of employees are supported by my organization.
   Responses:
   • No responses.
7. I am expected to treat all callers/customers with respect.
   Responses:
   • No responses.
8. I would recommend my organization to a friend seeking employment.
   Responses:
   • No responses.
9. I am confident I will receive support during and after a critical incident.
   Responses:
   • No responses.
10. Work/Life balance is important to my organization.
    Responses:
    • No responses.
11. My work is valued.
    Responses:
    • No responses.

Communications

1. My agency head is approachable.
   Responses:
   • No responses.
2. My agency head’s decision-making process is transparent.
   Responses:
   • No responses.
3. I am comfortable bringing new ideas and suggestions to my immediate supervisor.
   Responses:
   • No responses.
4. I can communicate concerns and raise issues without fear of negative consequences.
   Responses:
   • No responses.
5. When my performance is below expectations, my supervisor provides coaching and constructive feedback in a timely manner.
   Responses:
   • No responses.
6. My organization recognizes excellent performance.
   Responses:
   • No responses.
7. Formal communications flow easily within my organization.
   Responses:
   • No responses.
8. My immediate work colleagues respect open communications.
   Responses:
   • No responses.
9. I am comfortable with my organization’s ethics reporting mechanisms.
   Responses:
   • No responses.
10. I feel listened to.
    Responses:
    • No responses.

Leadership and Management

1. My immediate supervisor listens to my concerns.
   Responses:
   • No responses.
2. My organization resolves employee conflicts appropriately.
   Responses:
   • No responses.
3. Interpersonal issues between team members are addressed.
   Responses:
   • No responses.
4. Agency leadership keeps staff informed concerning issues of importance.
   Responses:
   • No responses.
5. My agency head cares about my work issues.
   Responses:
   • No responses.
6. Agency leadership is ethical.
   Responses:
   • No responses.
7. My immediate supervisor strives for excellence.
   Responses:
   • No responses.
8. My agency tolerates average performers.
   Responses:
   • No responses.
9. My organization expects excellence from each employee.
   Responses:
   • No responses.
10. My Leaders consistently model the behavior they expect from others.
    Responses:
    • No responses.
11. Leaders at all levels of the agency demonstrate courage by making difficult decisions that are best for the agency.
    Responses:
    • No responses.

Engagement

1. I feel like I am important to my team.
   Responses:
   • No responses.
2. I am confident in my abilities to perform the job at a high level.
   Responses:
   • No responses.
3. My skills and expertise are utilized effectively.
   Responses:
   • No responses.
4. I am supported in efforts to improve my professional skills.
   Responses:
   • No responses.
5. My work is fulfilling.
   Responses:
   • No responses.
6. Good suggestions from employees lead to important changes.
   Responses:
   • No responses.
7. My organization has my back.
   Responses:
   • No responses.
8. I am proud to be a part of my organization.
   Responses:
   • No responses.
9. I plan to work here a minimum of five more years.
   Responses:
   • No responses.
10. I would like to finish my career here.
    Responses:
    • No responses.

Narrative Questions

Please answer the following questions providing as much detail as possible.

1. What do you like best about working for your agency? Responses:
   • No responses.
2. What are the top three issues facing your organization? Responses:
   • No responses.
3. If you could make one change within your organization, what would you change and how would you change it? Responses:
   • No responses.
4. What else would you like to tell us? Responses:
   • No responses.

Demographics

1. My age falls within the following categories:
   • Responses:
2. My job classification is as follows:
   • Responses:
3. My years in this agency is:
   • Responses:
4. My years in this industry is
   • Responses: