Personal Details

Gender Qualification : Department Designation : : : male [ ] female [ ]

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 [ e. Others [ ] ] b. Good wages/salary [ ] d. Working environment [ ] ] c. Good welfare measures [

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 [ ] c. Educational facilities [ e. All the above [ ] ] b. Welfare facilities [ d. Safety [ ] ]

7. How is the relationship between workers and management? a. Excellent[ ] c. Satisfied [ ] b. Good [ ] d. Poor [ ]

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 [ [ ] ] e. Poor [ ] b. Very good [ d. Average [ ] ] c. Good

12. Express your opinion about the following facilities provided? Opinion Drinking Water Facilities Rest Rooms Excellent Good Satisfactory Poor

13. Express your opinion about medical facilities? Opinion First aid facility Treatment of accident Qualified medical practitioner Excellent Good Satisfactory Poor

Ambulance facility 14. Express your opinion about schemes provided? Opinion P F Scheme ESI Scheme Medical 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 Insurance Hospital Excellent Good Satisfactory Poor

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 [ c. More be dedicated [ e. All the above [ ] ] ] ] ] b. Improves the standard of living [ d. Improves the productivity [

Suggestion for Improvements __________________________________________________________________________________ ________________________________________________________ _____________________________________________________________________ _____________________________________________________________________