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Motivation Questionnaire
Please list 3 personal goals:

    1. ______________________________________________________________________________

    2. ______________________________________________________________________________

    3. ______________________________________________________________________________

Please list 3 professional goals:

    1. ______________________________________________________________________________

    2. ______________________________________________________________________________

    3. ______________________________________________________________________________

What motivates you: (i.e. money, gifts, awards, promotion opportunities, etc.)

______________________________________________________________________________________
______________________________________________________________________________________
___________________________________________________________________________________

Review the following rewards and choose an answer:

                                                        Love it!        It’s fine   Don’t bother

Money

Movie Gift Certificates

Restaurant Gift Certificates

Candy and Treats

Flowers

More training / responsibility

Paid time off

Please list your favorite:

Cake: ________________________________________________________________________________

Ice cream: ____________________________________________________________________________

Candy bar: ____________________________________________________________________________

Local restaurant: _______________________________________________________________________

Music: _______________________________________________________________________________
Local Movie Theater: ___________________________________________________________________

Do you enjoy public recognition?   Yes    No

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Motivation questionnaire

  • 1. Motivation Questionnaire Please list 3 personal goals: 1. ______________________________________________________________________________ 2. ______________________________________________________________________________ 3. ______________________________________________________________________________ Please list 3 professional goals: 1. ______________________________________________________________________________ 2. ______________________________________________________________________________ 3. ______________________________________________________________________________ What motivates you: (i.e. money, gifts, awards, promotion opportunities, etc.) ______________________________________________________________________________________ ______________________________________________________________________________________ ___________________________________________________________________________________ Review the following rewards and choose an answer: Love it! It’s fine Don’t bother Money Movie Gift Certificates Restaurant Gift Certificates Candy and Treats Flowers More training / responsibility Paid time off Please list your favorite: Cake: ________________________________________________________________________________ Ice cream: ____________________________________________________________________________ Candy bar: ____________________________________________________________________________ Local restaurant: _______________________________________________________________________ Music: _______________________________________________________________________________
  • 2. Local Movie Theater: ___________________________________________________________________ Do you enjoy public recognition? Yes No