| Your Name | |
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| E-Mail Address | |
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| Telephone | |
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| Company | |
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| Country | |
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| Website URL (optional) | |
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| No# of employees (optional) | |
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| 1. Our work teams conduct their own recruitment | |
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| 2. We use occupational compatibility profiling systems to help identify a candidates best job fit | |
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| 3. Negative employees who don't fit our work culture are quickly released | |
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| 4. Individual Learning Plans are favoured ahead of Performance Appraisals | |
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| 5. Employees receive a combination of technical, business and social skills training | |
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| 6. Career development opportunities are available to staff | |
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| 7. Our managers demonstrate excellent people coaching skills | |
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| 8. Our leaders are very empowering | |
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| 9. Managers provide effective performance feedback | |
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| 10. Employees are given the best available equipment to complete their work | |
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| 11. Our communication system is open and rapid | |
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| 12. Appropriate operating budgets are available for our business units | |
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| 13. Our employees work without supervision | |
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| 14. Employees have the authority to do what ever it takes to service our customers | |
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| 15. Our work teams are definitely self managing | |
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| 16. We pay for performance rather than by the hour for attendance | |
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| 17. Our employees stay even if they are offered an equal job, with more money somewhere else | |
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| 18. Employees receive the extra personal time they need to manage their life outside of work | |
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