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Example Survey Questions and Layout
1 - Strongly Disagree, 2 - Disagree, 3 - Neutral, 4 - Agree, 5 - Strongly Agree, N/C - No Comment or Not Observed
No.
Question
Response
1. 
Joe sets clear expectations for me
1
2
3
4
5
N/C
2. 
Joe makes it easy for me to approach him
1
2
3
4
5
N/C
3. 
Joe properly plans staff projects
1
2
3
4
5
N/C
4. 
Joe regularly recognizes me
1
2
3
4
5
N/C
5. 
Joe follows through on his commitments
1
2
3
4
5
N/C
6. 
Joe provides me adequate feedback on my job performance
1
2
3
4
5
N/C
7. 
Joe embraces change when it is needed
1
2
3
4
5
N/C
8. 
Joe takes informed risks when necessary
1
2
3
4
5
N/C
9. 
Joe provides adequate resoources for me to do my job
1
2
3
4
5
N/C
10. 
Joe's communication to me is respectful
1
2
3
4
5
N/C
11. 
Joe is fair with how he treats all of his staff
1
2
3
4
5
N/C
12. 
Joe provides me the necessary autonomy for me to do my job
1
2
3
4
5
N/C
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