Name of Organization: ___________________________________________________________

Industry in which it operates: ______________________________________________________

Location of organization headquarters: ______________________________________________

1. Most of the information I receive on a daily basis comes from my manager.

a.) Strongly Agree b.) Agree c.) Neutral d.) Disagree e.) Strongly Disagree

2. In this organization, my ideas are frequently passed on to top-management.

a.) Strongly Agree b.) Agree c.) Neutral d.) Disagree e.) Strongly Disagree

3. Most of the information I receive on a daily basis come from my co-workers.

a.) Strongly Agree b.) Agree c.) Neutral d.) Disagree e.) Strongly Disagree

4. I feel comfortable sharing ideas directly with members of top-management.

Strongly Agree b.) Agree c.) Neutral d.) Disagree e.) Strongly Disagree

5. Please indicate how frequently you use the following methods of communications on daily basis

Please tick on the appropriate response 1 2 3 4 5

Face-to-face interaction

Electronic communications

Written communication

Telephone calls

6. Using the following scale, please indicate how effective the following methods are for communicating information you need on a daily basis to do your job.

Please tick on the appropriate response

Very Ineffective

Somewhat Ineffective

Neither Effective nor Ineffective

Effective Extremely Effective

E-mail

The company intranet

Company publications/newsletters

Memos/faxes

Manager

Voicemail

Phone-in hotlines

Co-workers

7. I receive the information I need to perform my job in a timely manner.

a.) Strongly Agree b.) Agree c.) Neutral d.) Disagree e.) Strongly Disagree

8. There is free-flow upward communication

a.) Strongly Agree b.) Agree c.) Neutral d.) Disagree e.) Strongly Disagree

9. There is free-flow downward communication

a.) Strongly Agree b.) Agree c.) Neutral d.) Disagree e.) Strongly Disagree

10. There is free-flow horizontal communication

a.) Strongly Agree b.) Agree c.) Neutral d.) Disagree e.) Strongly Disagree

11.In this organization, important information is a scarce resource.

a.) Strongly Agree b.) Agree c.) Neutral d.) Disagree e.) Strongly Disagree