Title Page

  • Conducted on

  • Name of Employee

  • Human Resources

  • Location
  • In the last two months, did your co-workers provide you feedback on your progress?

  • In the past two months, have you had opportunities to learn and improve?

  • Does your opinion seem to have weight at work?

  • Does the mission/vision and values of Leclerc give you the impression that your work is important?

  • Can you count on a trusted co-worker at work?

  • At work, do you have the opportunity to devote yourself every day to what you do best?

  • In the last seven days, have you received any recognition or praise for a job you did well?

  • Does your supervisor, or anyone else at work, seem to value you as a person?

  • Can you count on a co-worker who encourages you in your development?

  • Do you know what is expected from you at work?

  • Do you have the tools and equipment to do your job well?

  • What keeps you coming back to work each day (aside from a pay check)?

  • What is Leclerc doing right that keep you from considering other job opportunities?

  • What do you enjoy most about the work you are doing?

  • What would you like to see change (if possible)?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.