Sample Attitude Survey

(Introductory Statement -- make specific to department)

Before we implement a recognition and rewards program in this department,
we'd like to get an idea of what kind of program our employees would like to
see and how it could be positively implemented. This survey is intended to be
anonymous, but you may add your name to the bottom of the questionnaire.
Please return your completed questionnaire to ________________ by
_________.
1. Do you receive positive feedback from your supervisor on a regular basis? Does
your supervisor thank you for the work you do?
______Mostly yes _____No, or rarely
2. Have you ever wanted to be able to recognize good work done by co-workers?
______Frequently _____Seldom
3. Would you prefer to receive recognition initiated by supervisors and managers
or by your peers? Or both? (Check all that apply.)
______ Managers _____Supervisors _____Peers
Keeping in mind that this program is intended to involve "non-cash" tangible
rewards that are limited by University and IRS regulations (Business & Financial
Bulletin G-41), please respond to the following:
4. What kind of "rewards" would you like to see given?
______ Mugs, other items with a special department or University logo
______ Flowers
______ Certificate of appreciation
______ Catalog gift certificates
______ T-shirts
______ CDs
______ Parking pass
______ Transit pass
______ Dinner gift certificate
______ Tickets to events
______ Other: list suggestions below
5. How could we be sure such a program would work effectively and positively?
6. What drawbacks do you see to such a program?
7. Would you be willing to participate in a workgroup to implement a program?