| 1. | What is your age? |
| 1. Under 26 years |
| 2. 26 to 30 years |
| 3. 31 to 35 years |
| 4. 36 to 40 years |
| 5. 41 to 45 years |
| 6. 46 to 50 years |
| 7. 51 to 55 years |
| 8. 56 or over |
| 2. | What is the highest educational level you have attained? |
| 1. High school or less |
| 2. Bachelor's degree |
| 3. Master's degree |
| 4. Doctorate |
| 3. | Are you a supervisor? |
| 1. No |
| 2. Yes |
| 4. | I consider myself to be primarily a: |
| 1. Scientist |
| 2. Engineer |
| 3. Manager |
| 5. | Which of the following shows how much of the time you feel satisfied with your job? |
| 1. Never |
| 2. Seldom |
| 3. Occasionally |
| 4. About half of the time |
| 5. A good deal of the time |
| 6. Most of the time |
| 7. All the time |
| 6. | Choose the one of the following statements which best tells how well you like your job. |
| 1. I hate it |
| 2. I dislike it |
| 3. I don't like it |
| 4. I am indifferent to it |
| 5. I like it |
| 6. I am enthusiastic about it |
| 7. I love it |
| 7. | Which one of the following best tells how you feel about changing your job? |
| 1. I would quit this job at once if I could |
| 2. I would take almost any other job in which I could earn as much as I am earning now |
| 3. I would like to change both my job and my occupation |
| 4. I would like to exchange my present job for another one |
| 5. I am not eager to change my job, but i would do so if I could get a better job |
| 6. I cannot think of any jobs for which I would exchange |
| 7. I would not exchange my job for any other |
| 8. | Which of the following shows how you think you compare with other people? |
| 1. No one dislikes his job more than I dislike mine |
| 2. I dislike my job much more than most people dislike theirs |
| 3. I dislike my job more than most people dislike theirs |
| 4. I like my job about as well as most people like theirs |
| 5. I like my job better than most people like theirs |
| 6. I like my job much better than most people like theirs |
| 7. No one likes his job better than I like mine |
| 9. | My job is: |
| 1. Boring |
| 2. Not challenging |
| 3. Somewhat challenging |
| 4. Challenging |
| 5. Very challenging |
| 10. | Are you given the freedom to do your job well? |
| 1. Never |
| 2. Seldom |
| 3. Sometimes |
| 4. Often |
| 5. Always |
| 11. | Is your job preparing you for jobs with greater responsibility? |
| 1. Definitely no |
| 2. Probably no |
| 3. Undecided |
| 4. Probably yes |
| 5. Definitely yes |
| 12. | In this company, promotions are based primarily on merit. |
| 1. Strongly disagree |
| 2. Disagree |
| 3. Undecided |
| 4. Agree |
| 5. Strongly agree |
| 13. | How often are you given feedback from your supervisor about your job performance? |
| 1. Never |
| 2. Seldom |
| 3. Sometimes |
| 4. Frequently |
| 5. Very frequently |
| 14. | What kind of influence does your supervisor have on your organization? |
| 1. Very unfavorable |
| 2. Unfavorable |
| 3. Neutral |
| 4. Favorable |
| 5. Very favorable |
| 15. | I believe I have a good understanding of the company's goals and objectives. |
| 1. Strongly disagree |
| 2. Disagree |
| 3. Undecided |
| 4. Agree |
| 5. Strongly agree |
| 16. | I am kept informed of company policies which affect me. |
| 1. Strongly disagree |
| 2. Disagree |
| 3. Undecided |
| 4. Agree |
| 5. Strongly agree |