Department Performance

Do you feel this department has a positive contribution to the organization as a whole?

Provides very little positive contributions (1)	2	3	4	Provides lots of positive contributions (5)
Provides very little positive contributions (1)	Provides very little positive contributions (1)	2	2	3	3	4	4	Provides lots of positive contributions (5)	Provides lots of positive contributions (5)

How skilled are the members of your department at their jobs?

Not at all skilled	Not so skilled	Somewhat skilled	Very skilled	Extremely skilled
Not at all skilled	Not at all skilled	Not so skilled	Not so skilled	Somewhat skilled	Somewhat skilled	Very skilled	Very skilled	Extremely skilled	Extremely skilled

How professionally do the members of your department behave?

Not at all professionally	Not so professionally	Somewhat professionally	Very professionally	Extremely professionally
Not at all professionally	Not at all professionally	Not so professionally	Not so professionally	Somewhat professionally	Somewhat professionally	Very professionally	Very professionally	Extremely professionally	Extremely professionally

How well do members of your department share responsibility for tasks?

Not prepared at all

Moderately prepared

Very prepared

Do you feel your supervisor and management work hard to improve the department and provide a good product/service?

Yes

Do you feel like our department is over or understaffed?

Understaffed

Overstaffed

Neither - Seems to be good

Please answer all required questions

Department Performance

What do you feel is the most and least important factors to help the department achieve success?

Least Important
answer all options	1	Larger Budget	not answered
answer all options	2	More Staff	not answered
answer all options	3	Employee Trainings	not answered
answer all options	4	Pay Incentives	not answered
answer all options	5	More Teamwork	not answered
answer all options	6	Better Leadership from Management	not answered

Have you ever identified areas of waste that could save the department money?

Yes

If yes did you report these potential cost savings to management?

Yes

N/A

Please describe any road blocks you feel that prevent cost savings from being reported. (e.g. could be department culture or restrictions in communication)

If you have identified areas of waste how much do you estimate the department could save each year?

If the department was given $100,000 how would you like it to be spent?

*Answer required to be in a certain range

More Staff
New & Upgraded Equipment / Technology
General Office/Work Supplies
Employee Trainings
Department group outings (to build teamwork)
Total:
Total must sum to at least $0.00 and less than or equal to $100,000.00

Please answer all required questions