Download a Copy of the Questionnaire for Your Review

We daily review the list of people who have downloaded the sample questionnaire. We then invite those who appear to have completely and honestly entered the information below to download a representative sample report. (We don't invite people who put down things like "Mr. asdfjklm of Anywhere Street!).

You can download a sample copy of the questionnaire by entering the requested information below. You will then be sent to a page with a link to the sample questionnaire. There is no charge to download it.

Please complete the below information in order to download the questionnaire. 

The questionnaire is available in both Microsoft Word and Adobe formats.

Email Address (Required)
Work Phone (Required)


Other Information
(Thank you in advance for completing this.)

First Name
Last Name
Zip or Postal


1. Organization Type

2. Which of the following best describes your position? (Required)

3. How likely is your company/organization to conduct a survey among your employees in the next six months, using an outside vendor?

Definitely will
Probably will
Might or might not
Probably will not
Definitely will not

4. Approximately how many employees work in the organization you would like to survey?

5. Do you have a current employee engagement survey program?

Yes, we have an in-house program
Yes, we have a program using an outside vendor
No, we do not have a program at this time

6. Which, if any, of the following would you like us to do at this time? (Select all that apply.)

Send me a proposal based on the information I have provided here
Invite me to download a sample report
Send more information

7. Which methodology would you prefer to conduct your employee engagement survey?

Combination of Internet and paper-and-pencil

8. May we add you to our mailing list for our quarterly employee engagement newsletter?


After you have completed the above information, press the "go to download page" button below.

* COPYRIGHT NOTICE: This questionnaire may be downloaded for viewing purposes, but may not be used without the prior consent of The Business Research Lab. Consent may be obtained by registration or by hiring The Business Research Lab to conduct the survey. Use of this questionnaire without prior consent is in violation of the Federal Copyright Law (17 USC 101 et seq.). Violators may be subject to criminal penalties as wll as liability for substantial monetary damages, including statutory damages of up to $100,000 per infringement, costs and attorney's fees.
Copyright 1996-2000 The Business Research Lab, LLC. All rights reserved.

If you would like to conduct the E-Value2003 Employee Engagement Survey (or a custom employee survey) online, please give us a call at 210-999-5250.

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