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:
2.1How 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
2.2How far is it from your home to work (one way)?_____ Miles
2.3What is the approximate cost per month of your travel to and from work? $ ______Per month
2.4 Other ______
______
3)Scheduled Work Hours:
3.1What is your normal start time at work?______a.m. - p.m. (circle one)
3.2How 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:
4.1Indicate 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 InternetDesk lamp
Separate phone line Quiet work location Fax machine Printer
Other: ______
4.2Do you anticipate personally installing a second line during the pilot?
Yes, because ______
No
4.3Other ______
______
5)Personal Concerns:
5.1Do you already feel like your personal lifeis affecting your professionalcareer?
Yes (If so, how?) ______
No
5.2Does 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
5.3Are 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:
6.1How do you think working from home will impact your ability to serve the customer?
Very PositivelyPositively Not at all NegativelyVery Negatively
6.2How much do you think teleworking will impact the quality of your work?
Very Positively Positively Not at all Negatively Very Negatively
6.3How much do you think teleworking will affect your productivity/personal effectiveness?
Very Positively Positively Not at all Negatively Very Negatively
6.4During 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)
SUPERVISORPRE-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:
3.1Do you feel that employees how work from home have the potential to benefit your department?
Yes
No (Go to 3.3)
Uncertain
3.2In what ways do you expect telework to benefit your organization?
______
3.3How 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 ______
______
______
______
3.4If the decision were yours, would you approve the purchase of additional communications equipment to enable employees with special needs to telework?
Yes
No
Comment: ______
3.5Do you feel the home agent telework program will affect the employee evaluation system?
Yes
No
If so, how? ______
______
3.6 Other ______
______
4)Personal
4.1Given the opportunity, would you want to work from home?
YesIf 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)
(Organization) Telework ProgramSurvey Questionnaires
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
3.1Are you aware that others in ______are participating in the home agent pilot?
Yes
No
Don’t Know
3.2Is anyone in your work group teleworking as part of the pilot program?
Yes
No
Don’t Know
3.3 Other ______
______
4)Program impact:
4.1If yes, how has telework affected the work routine between you and your teleworking coworkers?
favorablyno changeunfavorablycomments
Communication______
Work schedule______
Job assignments______
Work coordination______
Individual productivity______
Team spirit______
Relationship w/supervisor______
Other:______
______
4.2What affect has teleworking had on the overall productivity of your organization?
improved not changed
decreased not applicable
4.3What impact has teleworking had on you work team overall?
improved not changed
decreased not applicable
4.4What is your overall evaluation of the pilot’s impact on you professionally?
improved not changed
decreased not applicable
4.4 Other ______
______
5)Personal impact:
5.1Were 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 ______
5.2Has the telework pilot been a positive experience for you personally?
Yes
No
No opinion
5.3Do 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:
6.1How do you presently get to work?
drive alone _____ day(s) a weekcarpool _____ day(s) a week
bus _____ day(s) a weekvanpool _____ day(s) a week
walk _____ day(s) a weekbicycle _____ day(s) a week
other _____ day(s) a week - explain: ______
6.2How 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:
3.1How 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
3.2How far is it from your home to work (one way)?_____ Miles
3.3What is the approximate cost per month of your travel to and from work? $ ______per month
3.4 Other ______
______
4)Asset Management:
4.1Please 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: ______
4.2Did 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 expectedMet my expectationsBelow my expectations
Please explain: ______
______
6)Professional Impacts:
6.1Did the idea of teleworking make you uneasy or uncomfortable about doing your job well?
Not at all
A little How? ______
A lot How? ______
6.2How much did the relationship between you and your supervisor change after you began teleworking?
Not at all
A little How? ______
A lot How? ______
6.3How much do you think teleworking affected the quality of your work?
Not at all
A little How? ______
A lot How? ______
6.4Does teleworking have an affect on your productivity?
Not at all
A little How? ______
A lot How? ______
6.5During the pilot, do you think teleworking helped you better manage the time you spent working?
Not at all
A little How? ______
A lot How? ______
6.6While 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
6.7Was it easier to do your job at home than in the office?
YesWhy ______
NoWhy ______
About the Same
6.8On 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:
7.1Would you say your attitude toward telework is:
Positive negative neither
7.2Since you began working from home, has your attitude toward your job:
Improved remains unchanged declined
Describe (changes only) ______
7.3Would you recommend teleworking to other employees?
YesNoNot Sure
(Why if yes or no response) ______
7.4Would having the option of telework affect your future career choices?
Yes No Not Sure
(Why if yes or no response) ______
7.4Did your schedule change during the pilot?
Yes No Not Sure
(Why if yes or no response) ______
7.6While teleworking were you able to keep your work and personal life separate?
Yes No Not Sure
7.7Did teleworking help you work at your personal "peak" times?
Yes No Not Sure
(Why if yes or no response) ______
7.8What 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:
3.1Do you want selected employees to continue teleworking?
Yes No Not Sure
(Why if yes or no response) ______
3.2Do you feel that teleworking has the potential to benefit others in your department?
Yes No Not Sure
(Why if yes or no response) ______
3.3If 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______
3.4How 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:
______
______
3.5Did you observe jealousies from non-telework employees regarding those who were able to telework?
YesNo Not certain
3.6Do your think non-telework employees were asked to do more than their share due to employees who were teleworking?
Yes No Not certain
3.6Do you feel the teleworking pilot has affected the employee evaluation system?
Yes*
No
*If so, how?______
______
3.7Do you think teleworking should be expanded within your organization?
Yes*
No
*If so, how?______
______
______
4)Personal Impacts:
4.1Did 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
4.2Do you think the option of teleworking would affect your future career choices?
Yes No
4.3If 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
4.4If 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)
(Organization) Telework ProgramSurvey Questionnaires