Area

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Name of

Employee:__________________________________________________________________
Designation & Dept.

Areas Extremely Dissatisfie Satisfied Very Extremely


Dissatisfie d Satisfied Satisfied
d
Job status
Job satisfaction
Communication
(among colleague)
Motivation
(By Employer)
Pay and benefit

Team work
Appointment and
training
Leadership
Performance
appraisal
_________________________________________________________________

Completed Services (in years):


_________________________________________________________

Signature
Name of
Employee:_____________________________________________________________________
Designation & Dept.
____________________________________________________________________
Completed Services (in years):
____________________________________________________________

Signature

Areas Extremely Dissatisfied Satisfied Very Extremely


Dissatisfied Satisfied Satisfied
Job status
Job satisfaction
Communication
Motivation
Pay and benefit
Team work
Appointment and
training
Leadership
Performance
appraisal

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