TELEWORK (Home Agent) PRE-PILOT SURVEY

TELEWORK

Employee PRE-PILOT SURVEY

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 InternetDesk 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 PositivelyPositively Not at all NegativelyVery 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:

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:

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:

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 expectedMet my expectationsBelow 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?

YesNoNot 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:

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?

YesNo 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