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Personal Details
Gender : male [ ] female [ ]
Qualification :
Department :
Designation :
1. Employee welfare measures are vital in bringing about smooth
functioning of the organization?
a. Yes [ ] b. No [ ]
2. Which of the following factors motivated you to work in this
company?
a. Job security [ ] b. Good wages/salary [ ]
c. Good welfare measures [ ] d. Working environment [ ]
e. Others [ ]
3. Are you aware of all the welfare measures provided?
a. Yes [ ] b. No [ ]
4. Does the management shows sincere interest in well being of
employees?
a. Yes [ ] b. No [ ]
5. Is the company rewarding for your extra work?
a. Yes [ ] b. No [ ]
6. What type of facilities is most important to the work
force?
a. Medical facilities [ ] b. Welfare facilities [ ]
c. Educational facilities [ ] d. Safety [ ]
e. All the above [ ]
7. How is the relationship between workers and management?
a. Excellent[ ] b. Good [ ]
c. Satisfied [ ] d. Poor [ ]
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8. Are you aware about all the loans facilities to you by the
company?
a. Yes [ ] b. No [ ]
9. Does your company constitute the following committee?
a. Labor welfare fund committee [ ]
b. Death welfare fund committee [ ]
c. Education committee [ ]
d. Sports and re creation [ ]
e. All the above [ ]
10. Are you satisfied with paid leave facilities?
a. Yes [ ] b. No [ ]
If no what is your expectation
11. How do you rate working hours [9am-5:30pm]?
a. Excellent [ ] b. Very good [ ] c. Good
[ ] d. Average [ ]
e. Poor [ ]
12. Express your opinion about the following facilities
provided?
Opinion Excellent Good Satisfactory Poor
Drinking Water
Facilities
Rest Rooms
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13. Express your opinion about medical facilities?
Opinion Excellent Good Satisfactory Poor
First aid facility
Treatment of accident
Qualified medical practitioner
Ambulance facility
14. Express your opinion about schemes provided?
Opinion Excellent Good Satisfactory Poor
P F Scheme
ESI Scheme
Medical Insurance Hospital
Scheme
Medical reimbursement
Death Relief Fund
15. Do you have any other additional benefits in your
company?
a. Yes [ ] b. No [ ]
If yes mention
16. Is there any benefits that you feel the organization has to
provide to the employees?
a. Yes [ ] b. No [ ]If yes mention
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17. Are you satisfied with your companys benefits and
facilities?
a. Yes [ ] b. No [ ]
18. Did you face any problem in availing the service?
a. Yes [ ] b. No [ ]
19. Do you agree, the welfare facilities improve the performance
of the employees?
a. Yes [ ] b. No [ ]
20. In what way the performance will be affected in regard to
the welfare facilities?
a. Morality will improve [ ]
b. Improves the standard of living [ ]
c. More be dedicated [ ]
d. Improves the productivity [ ]
e. All the above [ ]
Suggestion for Improvements
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