Employee Engagement Survey

"*" indicates required fields

Step 1 of 6

16%

Department*

Years In Social Clinic*

How is your relationship with your colleagues in the same department?*

Excellent	Good	Poor

Comments:*

How is your relationship with your head of department?*

Excellent	Good	Poor

Comments:*

What do you like about working with your team members in your department?*

Is there any particular challenge(s) you face with your team members in your department? Please list them down and recommend a solution(s)*

How’s your relationship with your client(s)?*

Excellent	Good	Poor

Comments:*

Is there any particular challenge you face with your client(s)? Please list them down and recommend a solution(s)*

How’s your relationship with other head of departments?*

Excellent	Good	Poor

Comments*

Is there any particular challenge you face with other departments? Please list them down and recommend a solution(s)*

How open is the communication between you and your line-manager?*

1 being poor till 5 being excellent

1	2	3	4	5

Comments*

How open is the communication between you and your head of department?*

1 being poor till 5 being excellent

1	2	3	4	5

Comments*

How engaged are you with the Managing Director?*

1 being poor till 5 being excellent

1	2	3	4	5

Comments*

What message would you wish to openly communicate with the management?*

Describe your relationship with Social Clinic?*

What are the values of Social Clinic?*

If we could do one thing to improve, what would it be?*