Name: _____________________ Department & Designation: _____________ Age: ________________ No. of years of service: _____________
I. Job Satisfaction and Income:
1. My job in company is very interesting.
Not at all To some Extent Average To great Highly
Extent Interesting
2. Reason for taking employment:
To spend time.
Forced by family Members.
To take care of my family.
Liking of the work.
II. Work atmosphere and relationship:
3. Are you aware of the leave rules of Swansilk?
Not at all To some Extent To great extent Strongly aware
4. How many paid leaves are availed by you per annum?
1-2 days 3-5 days 6-10 days More than 10 days
5. How many unpaid leaves are availed by you per annum?
1-2 days 3-5 days 6-10 days More than 10 days
6. Main reason behind high leave consumption:
Personal
Family related
Work related
Social
Addiction
Indebtness
7. My colleagues are highly supportive.
Not at all To some Extent To great Always
Extent
8. Disciplinary actions taken by management on absenteeism have reduced absenteeism in Swansilk.
Not at all To some Extent To great Highly
Extent True
9. I interact with the company’s management staff without hesitating.
Not at all To some Extent To great Highly
Extent True
III. Family, domestic and other problems:
10. How is your family condition and family atmosphere?
Satisfactory Average Unsatisfactory
11. Is your salary structure adequate?
Yes No
12. If No, are you and your family members engaged in some business?
Yes No
13. Is this involvement in business a cause of your absenteeism?
Sometimes Mostly Not at all
IV. Habits and Attitude:
14. The cause of my absenteeism is taking alcohol.
Not at all To some Extent To