Speaking to co-workers and/or supervisor Yes No
Speaking to clients / customers Yes No
Using the telephone Yes No
Reading manuals or safety prodecures Yes No
Writing correspondence or emails Yes No

Photocopying, filing or other clerical duties Yes No
Using your existing skills Yes No
Observing a co-worker Yes No
Co-operating with a co-worker Yes No
Co-operating as a group Yes No
Working on your own Yes No (if yes, please describe) Training for a task Yes No (if yes, please describe) Working on a special project Yes No (if yes, please describe) Overall satisfaction Excellent Good Poor (if Poor, please describe)

Is your supervisor available to talk and answer questions? Yes No
Are your co-workers available to talk and answer questions? Yes No
Is the working environment comfortable? Yes No
Do you have the necessary information and equipment to perform your tasks? Yes No
During a 6-8 hour shift, do you receive a half hour break for lunch? Yes No