Survey
Workplace Education Program Survey: March, 2011
Please answer the questions on both sides of this sheet.
Please return completed surveys to XXXX XXXXXX.
1. Name: ANONYMOUS Male ______ or Female ______ Age _______
2. Present Occupation or Job Title
3. Desired Future Occupation or Job Title
4. How many Years have you worked at the McArthur River Mine?
Less Than 1 ______ 1 to 3 ______ 4 to 7 ______ 8 to 11 ______ 12 or More ______
5. What are you most interested in learning about? (Personal interest or work related.)
6. What Hours of Operation for the Workplace Education Program would be best for you?
06:00 – 09:00 ______ 09:00 – 12:00 ______ 12:00 – 15:00 ______
15:00 – 18:00 ______ 18:00 – 21:00 ______ 21:00 – 24:00 ______
7. What assistance would you like to have from the Workplace Education Program?
8. How many times have you used the Workplace Education Program services?
None ______ 1 to 4 ______ 5 to 8 ______ 9 to 12 ______ 13 or More ______
9. What prevents you from using the Workplace Education Program?
10. Total Number of Years of Education (Each year of Apprenticeship counts as one year.)
1 to 6 ______ 7 to 9 ______ 10 to 12 ______ 13 to 15 ______ 16 to 20 ______
11. What would motivate you to use the Workplace Education Program services?
12. How would you rate the present quality of the Workplace Education Program?
Very Low ______ Low ______ Average ______ High ______ Very High ______
13. What suggestions do you have for improving the Workplace Education Program?
Thank You for Your Assistance!
