Adaptability - Employee Opinion Survey Sample #3

Surveys Measuring Adaptability:
Example 1 (5-point scale; numbers; NA)
Example 2 (7-point scale; radio buttons)
Example 3 (4-point scale; radio buttons)
Example 4 (5-point scale; radio buttons)
Example 5 (5-point scale; words)
Example 6 (Pulse Survey)
Example 7 (5-point scale; item comments)
Example 8 (3-point scale; words)
Dear Employee:

Welcome to the Employee Satisfaction Survey. We are on a journey to create a workplace that encourages success! A critical component of creating this culture is building a business you recognize as being a great place to work and one that provides you with challenge and recognition. We want to build a thriving and successful business that provides motivation and satisfaction. In order to do so we need to assess how we are doing and understand your thoughts, views and feelings.

We have developed this survey with questions tailored for our staff and business to provide you with an opportunity to anonymously rate many facets of the business. The survey will assess what you value most in your employment and allow you to make positive suggestions for improvement.

The survey is web-based, quick and simple to complete which allows fast reporting and analysis. To ensure your anonymity, the survey is being hosted by an external organization. You will not be required to identify yourself. We want to be very clear that we will not be able to attribute this data to any specific individual and it is not our intention to do so.

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between and . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team


Agree Disagree Strongly
  1. My Department is able to adapt to new environments and market factors
  1. The Company supports my needs to adapt to a changing work environment
  1. My Department is open to doing things a new way
  1. Management is able to adjust rapidly to new situations
  1. I am continuously learning and trying to improve myself

Career Development

Agree Disagree Strongly
  1. I have been given more responsibilities since when I started
  1. Employees are required to create their own Individual Development Plan.
  1. Job promotions are awarded fairly and without bias
  1. My manager discusses my career path with me.
  1. There is opportunity for me to advance at the Company


Agree Disagree Strongly
  1. I feel like I am able to help my department.
  1. I am glad I chose to work at this Company.
  1. I feel like I contribute to the Company.
  1. The Company is a good employer to work for.
  1. This is the best place I have ever worked.


Agree Disagree Strongly
  1. My Supervisor establishes responsibility and accountability in their subordinates
  1. My Supervisor motivates others to follow new processes
  1. My Supervisor has high technical skills
  1. My Supervisor is open to suggestions
  1. My immediate supervisor sets a good example.

Performance Appraisal/Management

Agree Disagree Strongly
  1. I trust the feedback I receive from my Supervisor
  1. My Supervisor is honest and fair in my performance review
  1. Expectations are clearly communicated to me
  1. Pay raises are linked to performance evaluations
  1. The Performance Management process is effective.


Agree Disagree Strongly
  1. The level of benefits offered by the Company helps to reduce turnover
  1. The benefits package provided by CompanyName helps reduce turnover.
  1. I plan to be working at the Company forever
  1. Management helps reduce turnover.
  1. Our department is able to attract and retain excellent employees


Agree Disagree Strongly
  1. The Facilities department responses to my requests
  1. I am aware of the procedures I need to take to evacuate the building in case of a fire or natural disaster
  1. The building I work in is well maintained
  1. I have easy access to the different offices and meeting rooms
  1. The Company offers excellent parking facilities

Employee Relations

Agree Disagree Strongly
  1. Managers work to obtain win-win resolutions
  1. Managers have a mutual trust and respect for employees
  1. Managers follow the grievance procedures
  1. My Supervisor is not afraid to take disciplinary action when needed
  1. I can go to My Supervisor if I have a problem


Agree Disagree Strongly
  1. I am able to balance work and my personal life.
  1. I can adjust my work schedule if needed
  1. The Company helps employees find an ideal balance between work and life responsibilities
  1. My work schedule is flexible enough to meet my needs
  1. I have input into my work schedule.

  1. What changes would you like to see in your benefit plans? Please note that some of these may increase premium rates. Please check all that apply.
    Add a higher deductible plan ($1,000 - $2,500)
    Increase vision care
    Increase dental care
    Add wellness program (weight loss, nutrition, smoking cessation programs, etc.)
    Add a Medical Spending Account (MSA) (allows employees to enroll in a high deductible health plan,
    and then and the employee contribute on a pre-tax basis to an account used for eligible medical expenses)

  2. What changes would you be willing to accept in order to help hold down premium increases? Please check all that apply.
    Higher annual deductibles (the amount you pay out-of-pocket before benefits begin)
    Higher office visit co pays (the dollar amount you pay for office visits)
    Higher prescription drug co pays (the dollar amount you pay for prescription drugs)
    More network restrictions (smaller group of doctors and specialists to choose from)
    No dental coverage
    Other please specify

  3. How often would you like to participate in after hours company event?

  4. How would you rate your satisfaction with the communication between you and ?

  5. What would you change about your current job or position?

  6. Please identify factors that would improve your job performance in the coming year.

  7. When your performance was discussed with you in the past,
    how often did you receive practical suggestions for improving your work?

  8. How would you rate your overall satisfaction with the company in the past year?

  9. Please give any comments or suggestions on how the company can be improved in the coming year: