TELEWORK (Home Agent) PRE-PILOT SURVEY



TELEWORK

Employee PRE-PILOT SURVEY

| |

|The following survey was designed to assess your expectations concerning the (Organization) telework program. Individual responses are |

|confidential and will be used for statistical purposes only. |

1) Demographics (contact information):

1.1 Name __________________________________________________________________

1.2 Supervisor ______________________________________________________

1.3 Name of program ________________________________________________

1.4 Office location ____________________________________________________________

1.5 Work phone number _______________________________________________________

1.6 Home office number _______________________________________________________

1.7 Other ___________________________________________________________________

_____________________________________________________________________

2) Environmental/infrastructure parking impacts:

2.1 How do you presently get to work?

Drive alone _____ Days per week

Carpool _____ Days per week

Bus _____ Days per week

Vanpool _____ Days per week

Walk _____ Days per week

Bicycle _____ Days per week

Other explain: _________________ _____ Days per week

2.2 How far is it from your home to work (one way)? _____ Miles

2.3 What is the approximate cost per month of your travel to and from work? $ _______ Per month

2.4 Other ___________________________________________________________________

_____________________________________________________________________

3) Scheduled Work Hours:

3.1 What is your normal start time at work? ___________ a.m. - p.m. (circle one)

3.2 How much time per week do you anticipate needing to be in the traditional office?

_____ Hours _____ Day(s)

3.3 Other ___________________________________________________________________

_____________________________________________________________________

4) Status of Home Setup:

4.1 Indicate the office furniture and equipment you currently have at home and plan to use for work. (Check all that apply)

( Desk ( Ergonomic chair ( High-Speed Internet ( Desk lamp

( Separate phone line ( Quiet work location ( Fax machine ( Printer

Other: ______________________________

4.2 Do you anticipate personally installing a second line during the pilot?

( Yes, because __________________________________________________________

( No

4.3 Other ___________________________________________________________________

________________________________________________________________________

5) Personal Concerns:

1. Do you already feel like your personal life is affecting your professional career?

( Yes (If so, how?) ______________________________________________________________

( No

2. Does the idea of working from home make you feel uneasy or uncomfortable about getting your work finished on time?

( Not at all ( A little ( A lot

5.3 Are you concerned about how, or if, the relationship might change between you and your supervisor after you begin teleworking?

( Not at all ( A little ( A lot

5.4 Other ___________________________________________________________________

________________________________________________________________________

6) Work Efficiency:

6.1 How do you think working from home will impact your ability to serve the customer?

( Very Positively ( Positively ( Not at all ( Negatively ( Very Negatively

6.2 How much do you think teleworking will impact the quality of your work?

( Very Positively ( Positively ( Not at all ( Negatively ( Very Negatively

6.3 How much do you think teleworking will affect your productivity/personal effectiveness?

( Very Positively ( Positively ( Not at all ( Negatively ( Very Negatively

4. During the pilot, how do you think teleworking will change the way you manage your time?

( Very Positively ( Positively ( Not at all ( Negatively ( Very Negatively

Close:

Additional thoughts or comments:

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Thank you for your time and cooperation in completing this questionnaire. Your information represents an important part of this home agent pilot evaluation process.

Distribution:

Please return this questionnaire in the enclosed envelope no later than

________________________________ to ____________________________________.

(Date) (Name or Location)

SUPERVISOR PRE-PILOT SURVEY

1) Introduction/confidential statement:

| |

|The following survey was designed to assess your expectations concerning the (Organization) telework program. Individual responses are |

|confidential and will be used for statistical purposes only. |

2) Demographics (contact information):

2.1 Name __________________________________________________________________

2.2 Title ___________________________________________________________________

2.3 Name of agency/department ________________________________________________

2.4 Office location ____________________________________________________________

2.5 Work phone number _______________________________________________________

2.6 Other ___________________________________________________________________

_____________________________________________________________________

3) Business Benefit:

1. Do you feel that employees how work from home have the potential to benefit your department?

( Yes

( No (Go to 3.3)

( Uncertain

3.2 In what ways do you expect telework to benefit your organization?

_________________________________________________________________________________

3.3 How do you feel this teleworking pilot will affect your task of supervising employees? (Check one)

( No change.

( Supervision of teleworkers should be easier because I will be measuring performance by results.

( Supervision of teleworkers should be more difficult because __________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

3.4 If the decision were yours, would you approve the purchase of additional communications equipment to enable employees with special needs to telework?

( Yes

( No

Comment: _____________________________________________________________________

3.5 Do you feel the home agent telework program will affect the employee evaluation system?

( Yes

( No

If so, how? _______________________________________________________________________

________________________________________________________________________

3.6 Other ___________________________________________________________________

_____________________________________________________________________

4) Personal

4.1 Given the opportunity, would you want to work from home?

( Yes If so, how often? (Check the best answer)

( One or more days per week

( One or more days per month

( Occasionally

( No – if no, why? ______________________________________________________________

Close:

Additional thoughts or comments:

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Thank you for your time and cooperation in completing this questionnaire. Your information represents an important part of this home agent pilot evaluation process.

Distribution:

Please return this questionnaire in the enclosed envelope no later than

________________________________ to ____________________________________.

(Date) (Name or Location)

POST-PILOT/ONGOING

NON-TELEWORKER'S SURVEY

1) Introduction/confidential statement:

| |

|For the past ___ months, some of your co-workers have been participating in our telework pilot program. This questionnaire is for employees|

|who are not teleworking or supervising teleworkers during the pilot program. Please take a few minutes to complete this questionnaire so a |

|more comprehensive evaluation of the program can be made. Your responses are confidential and will be used for program evaluation purposes |

|only. |

2) Demographics (contact information):

2.1 Name of program ________________________________________________

2.2 Office location ____________________________________________________________

2.3 Site location _______________________________________________________

2.4 Other ___________________________________________________________________

_____________________________________________________________________

3) Awareness

3.1 Are you aware that others in _________________ are participating in the home agent pilot?

( Yes

( No

( Don’t Know

3.2 Is anyone in your work group teleworking as part of the pilot program?

( Yes

( No

( Don’t Know

3.3 Other ___________________________________________________________________

_____________________________________________________________________

4) Program impact:

4.1 If yes, how has telework affected the work routine between you and your teleworking coworkers?

favorably no change unfavorably comments

Communication _____ _____ _____ _____

Work schedule _____ _____ _____ _____

Job assignments _____ _____ _____ _____

Work coordination _____ _____ _____ _____

Individual productivity _____ _____ _____ _____

Team spirit _____ _____ _____ _____

Relationship w/supervisor _____ _____ _____ _____

Other :_________________________________________________________________

____________________________________________________________________

4.2 What affect has teleworking had on the overall productivity of your organization?

( improved ( not changed

( decreased ( not applicable

4.3 What impact has teleworking had on you work team overall?

( improved ( not changed

( decreased ( not applicable

4.4 What is your overall evaluation of the pilot’s impact on you professionally?

( improved ( not changed

( decreased ( not applicable

4.4 Other ___________________________________________________________________

_____________________________________________________________________

5) Personal impact:

5.1 Were you given the opportunity to telework?

( Yes

( No

( Don’t Know

IF NO, explain: ________________________________________________________

If given the opportunity to telework, would you participate?

( Yes

( No, because _______________________________________________________

5.2 Has the telework pilot been a positive experience for you personally?

( Yes

( No

( No opinion

5.3 Do you feel your job would permit you to work at home?

( Yes

( No

If No, due to concerns with my:

( Supervisor _____ ( Home Environment ______ ( Ability to do my job _____

( Other _____________________________________

5.4 If you were given the opportunity to telework, how do you think you would benefit? (Check all that apply)

( Enhanced productivity

( Improved quality of work

( Better time management

( Improved morale

( Decreased commuter travel

( Reduced fuel costs and other travel expenses

( Reduced auto emissions – cleaner air

( Improved work environment w/fewer interruptions

( None of the above

Other ________________________________________________________________________

5.5 Other ___________________________________________________________________

_____________________________________________________________________

6) Environmental/infrastructure parking impacts:

6.1 How do you presently get to work?

drive alone _____ day(s) a week carpool _____ day(s) a week

bus _____ day(s) a week vanpool _____ day(s) a week

walk _____ day(s) a week bicycle _____ day(s) a week

other _____ day(s) a week - explain: _______________________________________________

6.2 How far is it from your home to work (one way)? _____ miles one way

Other comments:

____________________________________________________________________________________

____________________________________________________________________________________

Close:

Additional thoughts or comments:

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Thank you for your time and cooperation in completing this questionnaire. Your information represents an important part of this home agent pilot evaluation process.

Distribution:

Please return this questionnaire in the enclosed envelope no later than

________________________________ to ____________________________________.

(Date) (Name or Location)

Teleworker POST-PILOT SURVEY

1) Introduction/confidential statement:

| |

|The following survey was designed to assess your expectations concerning the (Organization) home agent program. Individual responses are |

|confidential and will be used for statistical purposes only. |

2) Demographics (contact information):

2.1 Name __________________________________________________________________

2.2 Supervisor _______________________________________________________________

2.3 Name of program __________________________________________________________

2.4 Office location ____________________________________________________________

2.5 Work phone number _______________________________________________________

2.6 I’ve now been teleworking for _____ Month(s)

2.7 Other ___________________________________________________________________

_____________________________________________________________________

3) Environmental/infrastructure parking impacts:

3.1 How do you presently get to work?

Drive alone _____ Days per week

Carpool _____ Days per week

Bus _____ Days per week

Vanpool _____ Days per week

Walk _____ Days per week

Bicycle _____ Days per week

Other explain: _________________ _____ Days per week

3.2 How far is it from your home to work (one way)? _____ Miles

3.3 What is the approximate cost per month of your travel to and from work? $ _______ per month

3.4 Other ___________________________________________________________________

_____________________________________________________________________

4) Asset Management:

4.1 Please identify the (Organization) office equipment & furniture you currently use for work at home.

( Desk ( Ergonomic chair ( High-Speed Internet ( Desk lamp

( Separate phone line ( Quiet work location ( Fax machine ( Printer

Other: ______________________________ Software: ______________________________________

4.2 Did you personally experience any additional costs due to the telework pilot?

( Yes (If so, what?) ______________________________________________________

( No

4.3 Other ___________________________________________________________________

_____________________________________________________________________

5) Installation and Technical support:

5.1 How would you describe the installation of equipment in your home?

( Easier than I expected ( About what I expected ( Harder than I expected

Please explain: ___________________________________________________________

5.6 How would you describe the technical support during the pilot?

( Better than I expected ( Met my expectations ( Below my expectations

Please explain: ___________________________________________________________

______________________________________________________________

6) Professional Impacts:

1. Did the idea of teleworking make you uneasy or uncomfortable about doing your job well?

( Not at all

( A little How? ____________________________________________________

( A lot How? ______________________________________________________

6.2 How much did the relationship between you and your supervisor change after you began teleworking?

( Not at all

( A little How? ____________________________________________________

( A lot How? ______________________________________________________

6.3 How much do you think teleworking affected the quality of your work?

( Not at all

( A little How? ____________________________________________________

( A lot How? ______________________________________________________

6.4 Does teleworking have an affect on your productivity?

( Not at all

( A little How? ____________________________________________________

( A lot How? ______________________________________________________

6.5 During the pilot, do you think teleworking helped you better manage the time you spent working?

( Not at all

( A little How? ____________________________________________________

( A lot How? ______________________________________________________

6.6 While you worked at home did you experience?

( More distractions than in the office

( Fewer distractions than in the office

( Approximately the same amount of distraction as in the traditional

6.7 Was it easier to do your job at home than in the office?

( Yes Why __________________________________________________________

( No Why __________________________________________________________

( About the Same

8. On the day(s) you worked at home approximately how many times did you contact the office?

By Phone _____

By E-mail _____

Other ___________________________________________________________________

___________________________________________________________________

7) Personal Impacts:

7.1 Would you say your attitude toward telework is:

( Positive ( negative ( neither

7.2 Since you began working from home, has your attitude toward your job:

( Improved ( remains unchanged ( declined

Describe (changes only) ___________________________________________________________

7.3 Would you recommend teleworking to other employees?

( Yes ( No ( Not Sure

(Why if yes or no response) ___________________________________________________________

7.4 Would having the option of telework affect your future career choices?

( Yes ( No ( Not Sure

(Why if yes or no response) ___________________________________________________________

4. Did your schedule change during the pilot?

( Yes ( No ( Not Sure

(Why if yes or no response) ___________________________________________________________

7.6 While teleworking were you able to keep your work and personal life separate?

( Yes ( No ( Not Sure

7.7 Did teleworking help you work at your personal "peak" times?

( Yes ( No ( Not Sure

(Why if yes or no response) ___________________________________________________________

7.8 What other computer software, hardware and/or office furniture would enable you to work more efficiently at home?

_____________________________________________________________________________________

Close:

Additional thoughts or comments:

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Thank you for your time and cooperation in completing this questionnaire. Your information represents an important part of this home agent pilot evaluation process.

Distribution:

Please return this questionnaire in the enclosed envelope no later than

________________________________ to ____________________________________.

(Date) (Name or Location)

POST PILOT/ONGOING SURVEY

FOR A TELEWORK SUPERVISOR

1) Introduction/confidential statement:

| |

|The following survey was designed to measure your attitudes concerning the home agent telework program. Individual responses are confidential |

|and will be used for statistical purposes only. Your candid responses are to the overall analysis of the program impacts. |

2) Demographics (contact information):

2.1 Name __________________________________________________________________

2.2 Title ___________________________________________________________________

2.3 Name of agency/department ________________________________________________

2.4 Office location ____________________________________________________________

2.7 Other___________________________________________________________________

Please check the appropriate response for the following questions.

3) Management & Program Impacts:

1. Do you want selected employees to continue teleworking?

( Yes ( No ( Not Sure

(Why if yes or no response) ___________________________________________________________

3.2 Do you feel that teleworking has the potential to benefit others in your department?

( Yes ( No ( Not Sure

(Why if yes or no response) ___________________________________________________________

3.3 If YES, in what ways do you feel telework will benefit your department?

( Enhanced productivity for enabling employees to better manage their time

( Increased staff productivity due to improved work environment with fewer interruptions

( Increased employee efficiency due to ability to work at personal peak times

( Improved employee morale

( Reduced employee turnover

( Reduced demand for office space

( Reduced demand for parking

Other _________________________________________________________________

3.4 How do you feel the telework pilot has affected your task of supervising employees?

( No change

( Supervision of teleworkers was easier because I measured performance by results

( Supervision of teleworkers was more difficult because:

_______________________________________________________________________________

_______________________________________________________________________________

5. Did you observe jealousies from non-telework employees regarding those who were able to telework?

( Yes ( No ( Not certain

6. Do your think non-telework employees were asked to do more than their share due to employees who were teleworking?

( Yes ( No ( Not certain

3.6 Do you feel the teleworking pilot has affected the employee evaluation system?

( Yes*

( No

*If so, how? _________________________________________________________________

_______________________________________________________________________

3.7 Do you think teleworking should be expanded within your organization?

( Yes*

( No

*If so, how? _________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

4) Personal Impacts:

4.1 Did you telework during the pilot?

( Yes*

( No

*If yes, did your area benefit from your participation in the program? ( Yes ( No

.. was the communication with your staff adequate? ( Yes ( No

.. would you encourage other supervisors to telework? ( Yes ( No

4.2 Do you think the option of teleworking would affect your future career choices?

( Yes ( No

4.3 If NO, given the opportunity, would you want to work from home?

( Yes*

( No

*If so, how often?

( One or more days per week

( One or more days per month

( Occasionally

4.4 If the decision were yours, would you approve the purchase of additional communications equipment and/or furniture to enable employees to telework?

( Yes

( No

Comment: _________________________________________________________________

_________________________________________________________________________

Close:

Additional thoughts or comments:

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

_______________________________________________________________________________________

Thank you for your time and cooperation in completing this questionnaire. Your information represents an important part of this home agent pilot evaluation process.

Distribution:

Please return this questionnaire in the enclosed envelope no later than

________________________________ to ____________________________________.

(Date) (Name or Location)

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