EMPLOYEE SURVEY QUESTIONNAIRE.

Please read each question carefully and answer as accurately as possible by placing Tick ( )
in box. Please complete this questionnaire and return it.

Section 1: Personal Information

1. In what age group are you?

A) 19 and under B) 20-29 C) 30-39 D) 40-49 E) 50 or above

2. What is your Gender?

o Male Female

3. What is your Religion?

o Muslim Non-Muslim

4. What is the highest level of education you have completed?

A) Diploma B) Bachelor Degree C) Master’s Degree D) postgraduate degree or PhD

5. What is your Monthly income?? (optional)

A) 25k-35k B) 35k-45k C) 45k-55K D) 55k or above

6. Organization Name (Public/Private).

Section 2: Question Statements.

Once or Once a Once a

Statement Never Everyday
Twice Month Week
Perceived Discrimination
How often supervisor/ coworkers make
jokes about racial or ethnic groups.
How often supervisor/ coworkers make
jokes about women.
In last 12 months, how often have you
worked twice as hard to get same
treatment?
How often are you being watched more
closely than others in the last 12 months?
In last 12 month, how often have you been
unfairly humiliated?
 Some
Occupational Stress Never Rarely Often Always
Times

When I am at work I often feel tense or

uptight.
A lot of times my job makes me very
frustrated or angry.
Most of the time when I am at work, I don’t
feel that I have much to worry about.
I am usually calm and at ease when I am
working.
I am usually under a lot of pressure when I
am at work.
There are a lot of aspects of my job that
make me upset.

Strongly Strongly
Work Relationship Closeness Disagree Neutral Agree
Disagree Agree
We understand each other.
We support each other at work.

We keep the other’s interest in mind at

work.
We respect each other’s point of view at
work.
We can fully communicate about the
problems at work.
We have similar personalities.
We have similar interests and hobbies.
We trust each other.
We always take other’s interest in
consideration.
Turnover Intention
I frequently think of leaving this
organization.
There is a good chance that I will leave this
organization in the next year.
I will probably look for a new organization
in the next year.