How long have you been part of CNL (as an employee, contractor, etc.)?
-Select one- 0 to 6 months 7 months to 2 years 2 years to 5 years 6 years to 10 years 10 to 15 years 15 years or more
Have you used the CNL Ombuds to address a concern before?
-Select one- No Yes
If yes, when?
How did you hear about the Ombuds?
-Select one- Word of Mouth MyCNL article CNL Ombuds Webpage CNL Ombuds Presentation Supervisor Manager Director DVP VP President’s Office Family/Friend Training Previous experience with CNL Ombuds Other
If other, please specify:
Was it easy to get information about the CNL Ombuds service?
-Select one- Yes No
If no, how can we make it easier to find information about the CNL Ombuds?
What type of concern or complaint led to your engagement with the Ombuds?
-Select one- Compensation & Benefits - Questions, concerns, issues or inquiries about the equity, appropriateness and competitiveness of employee compensation, benefits and other benefit programs. Evaluative Relationships - Questions, concerns, issues or inquiries arising between people in evaluative relationships (i.e. supervisor-employee, manager-employee, director-manager, manager-supervisor, etc.) Peer or Colleague Relationships - Questions, concerns, issues or inquiries involving peers or colleagues who do not have an evaluative relationship (e.g., two staff members within the same department) Career Progression and Development - Questions, concerns, issues or inquiries about administrative processes and decisions regarding entering and leaving a job, what it entails, (i.e., recruitment, nature and place of assignment, job security, and separation.) Legal, Regulatory, Financial and Compliance - Questions, concerns, issues or inquiries that may create a legal risk (financial, sanction etc.) for the organization or its members if not addressed, including issues related to waste, fraud or abuse. Safety, Health, and Physical Environment - Questions, concerns, issues or inquiries about Safety, Health and Infrastructure-related issues. Services/Administrative Issues - Questions, concerns, issues or inquiries about services or administrative offices including from external parties (i.e. contractors). Organizational, Strategic, and Mission - Questions, concerns, issues or inquiries that relate to the whole or some part of an organization. Values, Ethics, and Standards - Questions, concerns, issues or inquiries about the fairness of organizational values, ethics, and/or standards, the application of related policies and/or procedures, or the need for creation or revision of policies, and/or standards.
If you responded to the question above, how long have you had this concern?
Did the Ombuds respond to your initial contact in a reasonable period of time? (i.e., within three (3) working days)
-Select one- Yes No
What were your initial expectations of assistance from the Ombuds?
-Select one- To acquire information To get advice To facilitate, coach or guide communication with others To determine if my concern had been handled fairly To discuss options or alternatives so I may handle the concern myself For the Ombuds to assist with the resolution of the concern Other
If other, please specify:
Were your initial expectations met?
-Select one- Yes No
Do you have any other feedback about your initial expectations when you first contacted the Ombuds?
Did the Ombuds attempt to accommodate your schedule (and those involved in the concern/complaint)?
-Select one- Yes No
Was the role of the Ombuds explained to you?
-Select one- Yes No
Were you given an opportunity to present your views and express your concerns?
-Select one- Yes No
Do you believe the Ombuds understood your concern and the situation of the concern?
-Select one- Yes No
If no, how could the Ombuds improve their understanding of the concern?
Did you find the Ombuds to be helpful, professional and courteous?
-Select one- Yes No
Were you treated with respect?
-Select one- Yes No
Did the Ombuds handle your concern fairly?
-Select one- Yes No
Was your concern dealt with efficiently?
-Select one- Yes No
Did the Ombuds demonstrate impartiality (i.e., objective, even-handed) in reviewing your concern?
-Select one' Yes No
Was your concern handled in a confidential manner, especially if you asked that your name not be released?
-Select one- Yes No
How did you feel about the Ombuds recommended steps for resolving your concern?
When were you last contacted by the Ombuds regarding your concern?
Was the Ombuds able to assist you in addressing your concern?
-Select one- Yes No
If no, why?
Was the Ombuds successful in assisting you to resolve your concern?
-Select one- Yes No
If yes, was it a full or partial or alternative resolution?
If no, why?
How would you rate your overall experience with the Ombuds?
-Select one- Excellent Very Good Average Poor Unacceptable
What would you have done to resolve your concern without the intervention of the Ombuds?
Do you have any recommendations for improving the Ombuds process?
If you are human, leave this field blank.
