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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