Name of the Employee*

Employee ID:*Email ID*

Department*Designation*

Work Environment SelectExcellentVery GoodGoodSatisfactoryNot SatisfactoryOpportunities for skill up gradations / technical knowledge SelectExcellentVery GoodGoodSatisfactoryNot Satisfactory

Innovation / creativity encouraged at work SelectExcellentVery GoodGoodSatisfactoryNot SatisfactoryRelationship with seniors / peers / subordinates SelectExcellentVery GoodGoodSatisfactoryNot Satisfactory

General Employee benefits (Payroll / EPF / ESI / Festival Loan advance) SelectExcellentVery GoodGoodSatisfactoryNot Satisfactory

Performance appraisal SelectExcellentVery GoodGoodSatisfactoryNot SatisfactoryCanteen facilities SelectExcellentVery GoodGoodSatisfactoryNot Satisfactory

Transport facility SelectExcellentVery GoodGoodSatisfactoryNot SatisfactoryMedical facility SelectExcellentVery GoodGoodSatisfactoryNot Satisfactory

Work Load and responsibilities SelectExcellentVery GoodGoodSatisfactoryNot SatisfactoryGrievance Redressal mechanism SelectExcellentVery GoodGoodSatisfactoryNot Satisfactory

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