Change - Employee Opinion Survey Sample #3

Surveys Measuring Change:
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. Managers are effective in addressing resistance to change
  1. Management is able to implement a vision and mission
  1. My Department is able to adjust rapidly to a new way of operating
  1. My supervisor supports organizational changes.
  1. My Supervisor motivates others to follow new processes

Decision Making

Agree Disagree Strongly
  1. Senior Management discusses issues and ideas with employees before making major changes
  1. Employee opinions are valued
  1. Decisions are usually made with input from multiple individuals
  1. I am involved in important decisions that affect me
  1. As a team, we make decisions together


Agree Disagree Strongly
  1. All employees are encouraged to share their input at meetings
  1. The Company should offer training on how to improve meeting effectiveness
  1. Meetings start and end on time
  1. Meetings are a useful way for employees to work together
  1. I get important and useful information from meetings

Customer Service

Agree Disagree Strongly
  1. My Department is committed to customer service
  1. Our team’s current activities reflect a strong focus on the customer
  1. Service is responsive and meets the needs of customers
  1. I understand the relationship between my service to internal/external customers and Company's success.
  1. The training I receive reinforces customer focus


Agree Disagree Strongly
  1. This organization actively contributes to the community.
  1. I feel like I am able to help my department.
  1. I am glad to be working in my department.
  1. I feel this is a good place to work.
  1. The Company is a good employer to work for.


Agree Disagree Strongly
  1. I understand the benefits that are available.
  1. I think the benefits offered by the Company meet my needs
  1. The Company offers benefits that exceed industry standards
  1. The Company offers better benefits than other companies
  1. The premiums for benefits are reasonable


Agree Disagree Strongly
  1. The Company has a good supply of emerging leaders
  1. The Company has an excellent workforce planning strategy to meet future needs
  1. My Department has the right people in the right places
  1. My Supervisor is good at building a staff of creative and innovative individuals
  1. The Company has adequate help during peak work loads


Agree Disagree Strongly
  1. My workplace is well maintained and safe
  1. I understand the budget process
  1. I have all the tools and equipment I need to do my job well
  1. I understand the process of allocating fiscal resources
  1. The Company has the right people in the right places.


Agree Disagree Strongly
  1. The pay offered by the Company is very competitive
  1. I am satisfied with the level of pay I receive
  1. I am compensated fairly for the work I do.
  1. I am paid fairly
  1. My Supervisor is always trying to make sure I am fairly compensated

  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: