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Appendix C: Supervisor Questionnaire

The following information is being asked so that we can better understand the nature of

the survey responses in their entirety. This information is ONLY being used in an

aggregated form.

1.Which statement best describes the nature of the reporting relationship that you have

with this person?

(Please circle one)

A- I am this person's primary direct supervisor/manager

B- I have more indirect supervisory/managerial responsibilities for this person

C- I share supervisory/managerial responsibilities for this person,

D- I have more of a peer/lateral reporting relationship with this person.

2. How long have you worked with this person in the capacity that you described in

above?

(Please indicate numerical value in the spaces provided): Years_____ Months ______

3. How familiar do you feel you are with this person's work behaviors as asked about in

this survey?

1-very unfamiliar, 2-unfamiliar, 3-somewhat familiar, 4-familiar, 5-very familiar

Role Behaviors

Please rate the extent to which your coworker engages in each of the following behaviors:

This person is frequently:

1-8 (1= strongly disagree, 2=disagree, 3=somewhat disagree, 4=neither agree nor

disagree, 5=somewhat agree, 6=agree, 7=strongly agree; 8= don’t know/cannot

answer).

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