Page 14 - Flipbook New Admin Staff

College of Medicine
Department of Anesthesiology

Employee Recognition Questionnaire

Employee Name: Title:

1. Meaningful forms of recognition to me include (circle all that apply):

a. Verbal acknowledgement e. Being asked for my expertise
b. Written acknowledgement f. Take on new challenges
c. A chance to be creative g. Opportunity to build my skillset
d. Opportunity to be more involved in projects h. Other:

2. I prefer to receive recognition (circle all that apply):

a. in private
b. in small groups
c. in public
d. no preference
e. other, please describe:

3. Please list some of your favorite things so that we may get to know you better.

a. Favorite non-alcoholic drink:

b. Favorite snack:

c. Favorite dessert:
d. Favorite restaurant:

e. Favorite retail store:

f. Favorite flower:
g. Other:

4. Tell us any additional recognition preferences you would like us to know.

Please return to Jenny Barghout at jbarghout@ufl.edu or hand deliver to M-516. Thank you for
your participation!!