Employee Satisfaction Survey
Name of employee
First Name
Last Name
Date
-
Month
-
Day
Year
Date
How would you describe their overall level of job Performance?
Very satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
How would you rate the following?
Very Poor
Poor
Average
Good
Excellent
Stalls
Cleanliness
Professionalism
Respect level (are they respectful to you & people around them)
Appearance (do they dress appropriately)
Individual management
(Are they organized)
feedback (are you able to talk to the employee about things you might need)
Are they feeding correctly
Are they very helpful
Do they use their phone a lot when they should be working
Do they complete their work in a timely manner
Do you feel they take their work serious?
Yes
No
If No, Please Explain
Please list issues or concerns as well as suggestions
Please Provide Any Additional Feedback
Submit
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