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Representing


Assessment Form
Please fill out the assessment form below. Click all that apply.

1.) Company Name?


2.) What does your company do?


3.) Company Sales Volume? Gross Profit?


4.) What are the core business areas that you would like to improve? (i.e. Business Issues)
Increase Sales/Revenue
Reduce Costs
Improve Safety
Create a Culture of Recognition
Other

5.) What can your people do better to help you improve the business? (i.e. Performance Issues)
Examples: Reduce Costs / Improve Safety
Employees can become more knowledgeable of how to work safely
Employees can incorporate safe work practices into their day-to-day work habits
Employees can make suggestions on cost savings or operational efficiency
Employees can work to increase Productivity
Employees can have better Attendance

Examples: Create a Culture of Recognition
Employees can become more aware of the mission/vision/core values
Managers can incorporate On-The-Spot Recognition into their day-to-day activities
Employees can incorporate Peer-To-Peer Recognition into their day-to-day activities

6.) Describe the Participants you are trying to motivate?
Salary
Age
Gender
Ethnic Background
Other

7.) Describe the Organizational Structure of the Group you are trying to motivate?
Number of Employees/Participants
Number of Managers
Region/Division Breakdown
Etc.

8.) Ideas for Specific Program Criteria?
Umbrella Programs
Goal Achievement
Productivity
Quality
Safety
Attendance
Referrals
Suggestions
Wellness
Training Certification
Years of Service
Manager-to-Employee Recognition
Peer-to-Peer Recognition

Safety Programs
Individual: No Lost Time Accidents
Team: Frequency/Severity Rating
No Vehicular Accidents
D.O.T. Compliance
Suggestions
Training Certification

9.) How is the current program administered?




Partners with:

MTM Recognition
in recognizing
cast and crew


"8. The deepest principal in human nature is the craving to be appreciated."
- William James