Business Focus - Employee Survey Sample #7

Questionnaires Measuring Business Focus:
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; N/A)
Example 9 (4-point scale; numbers)
Example 10 (Comment boxes only)
Example 11 (Single rating per dimension)
Example 12 (Slide-bar scale)

Dear Employee:

Welcome to the Employee 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.

Dimensions Included:
Business Focus, Corporate Culture, Vision, Equipment, Supervision, Rewards/Recognition, Employee Assistance Program, Work/Life

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 this 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 . 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

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 [Company] and the employee contribute on a pre-tax basis to an account used for eligible medical expenses)

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

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

Every other month
Quarterly
Twice a year
Just the Christmas Party
How would you rate your satisfaction with the communication between you and [Company]?

Very Dissatisfied
Dissatisfied
No Opinion
Satisfied
Very Satisfied
What would you change about your current job or position?
Please identify factors that would improve your job performance in the coming year.
When your performance was discussed with you in the past,
how often did you receive practical suggestions for improving your work?

Very Often
Sometimes
Rarely
Never
How would you rate your overall satisfaction with the company in the past year?

Very Dissatisfied
Dissatisfied
No Opinion
Satisfied
Very Satisfied
Please give any comments or suggestions on how the company can be improved in the coming year:

Business Focus	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
The Company seeks to take advantage of opportunities (Click here to add a comment)
The Company engages in various initiatives to focus on its business strategy (Click here to add a comment)
The Leadership identifies new markets and opportunities to advance our products (Click here to add a comment)
The Leadership is effective in allocating financial resources (Click here to add a comment)
The Company continues to grow and expand its services (Click here to add a comment)
If [Participant Name] were to make improvements in Business Focus, which item do you think should be emphasized most over the next two years in order to make us a more effective organization.
Type the number here:
What are your suggestions for how we can improve this?

Corporate Culture	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
The Company new employee orientation includes information about our culture (Click here to add a comment)
The organizational culture enhances employee commitment (Click here to add a comment)
The Company is a good community neighbor (Click here to add a comment)
People enjoy working for the Company (Click here to add a comment)
I believe that Company's open door policy is effective. (Click here to add a comment)
If [Participant Name] were to make improvements in Corporate Culture, which item do you think should be emphasized most over the next two years in order to make us a more effective organization.
Type the number here:
What are your suggestions for how we can improve this?

Vision	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Our Company is committed to providing competitive products and services (Click here to add a comment)
Labor and Management work together to achieve the Company vision (Click here to add a comment)
Goals and objectives are integrated and aligned with the Company vision (Click here to add a comment)
A shared vision is developed with various stakeholders (Click here to add a comment)
Management is able to communicate a shared vision of the Company to all employees (Click here to add a comment)
If [Participant Name] were to make improvements in Vision, which item do you think should be emphasized most over the next two years in order to make us a more effective organization.
Type the number here:
What are your suggestions for how we can improve this?

Equipment	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
All employees in my department conduct pre- and post-trip assessments of the equipment (Click here to add a comment)
My supervisor is aware of the routine inspection and preventative maintenance required (Click here to add a comment)
Employees in my department regularly check and maintain equipment (Click here to add a comment)
My Supervisor is aware of the Company's safety policies (Click here to add a comment)
Employees in my department have the appropriate certifications required to operate the equipment (Click here to add a comment)
If [Participant Name] were to make improvements in Equipment, which item do you think should be emphasized most over the next two years in order to make us a more effective organization.
Type the number here:
What are your suggestions for how we can improve this?

Supervision	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I do not feel micro-managed. (Click here to add a comment)
I trust the feedback I receive from My Supervisor (Click here to add a comment)
My Supervisor communicates the actions necessary for me to take to achieve organizational objectives (Click here to add a comment)
I am treated fairly by My Supervisor. (Click here to add a comment)
I have a good relationship with my supervisor. (Click here to add a comment)
If [Participant Name] were to make improvements in Supervision, which item do you think should be emphasized most over the next two years in order to make us a more effective organization.
Type the number here:
What are your suggestions for how we can improve this?

Rewards/Recognition	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I understand the Company reward philosophy and processes (Click here to add a comment)
Performance incentives are clearly linked to standards and goals (Click here to add a comment)
I am made to feel that I am an important part of the Company (Click here to add a comment)
I am rewarded for exceeding my goals (Click here to add a comment)
My supervisor values and appreciates my contributions. (Click here to add a comment)
If [Participant Name] were to make improvements in Rewards/Recognition, which item do you think should be emphasized most over the next two years in order to make us a more effective organization.
Type the number here:
What are your suggestions for how we can improve this?

Employee Assistance Program	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Employees are aware of the EAP. (Click here to add a comment)
Employees are aware of the services offered by the EAP. (Click here to add a comment)
EAP staff are available for consultation within a few days after initial request. (Click here to add a comment)
I have good options for care/treatment when utilizing the Employee Assistance Program. (Click here to add a comment)
The EAP used by the Company helps improve job performance. (Click here to add a comment)
If [Participant Name] were to make improvements in Employee Assistance Program, which item do you think should be emphasized most over the next two years in order to make us a more effective organization.
Type the number here:
What are your suggestions for how we can improve this?

Work/Life	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I have input into my work schedule. (Click here to add a comment)
I can alter my work schedule to suit my needs. (Click here to add a comment)
My Supervisor would let me leave work early if I needed to. (Click here to add a comment)
My work schedule is flexible enough to meet my needs (Click here to add a comment)
I am able to balance work and my personal life. (Click here to add a comment)
If [Participant Name] were to make improvements in Work/Life, which item do you think should be emphasized most over the next two years in order to make us a more effective organization.
Type the number here:
What are your suggestions for how we can improve this?