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Change - Employee Survey Sample #7





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; 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:
Change, Resourcefulness, Decision Making, Job Content and Design, Respect for Others, Work/Life, Corporate Culture, Staffing, Resources, Employee Assistance Program
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



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Change

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
Not
Applicable
  1. The Leadership involves employees when making significant changes
    (Click here to add a comment)
  1. Management is able to implement a vision and mission
    (Click here to add a comment)
  1. Managers are effective in addressing resistance to change
    (Click here to add a comment)
  1. My Department is able to adjust rapidly to a new way of operating
    (Click here to add a comment)
  1. My Supervisor motivates others to follow new processes
    (Click here to add a comment)
If [Participant Name] were to make improvements in Change, 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?

Resourcefulness

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
Not
Applicable
  1. Efficiency is rewarded
    (Click here to add a comment)
  1. Our company finds efficient and innovative ways to solve problems
    (Click here to add a comment)
  1. My Department can accomplish a lot with limited funds
    (Click here to add a comment)
  1. We are able to utilize existing equipment and tools to their fullest extent
    (Click here to add a comment)
  1. Innovative solutions are encouraged in our department.
    (Click here to add a comment)
If [Participant Name] were to make improvements in Resourcefulness, 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?

Decision Making

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
Not
Applicable
  1. My manager coaches team members individually when "poor" decisions are made to help them see what could have been done differently.
    (Click here to add a comment)
  1. I am able to make sound and timely decisions under pressure
    (Click here to add a comment)
  1. My manager evaluates short and long term consequences when making decisions.
    (Click here to add a comment)
  1. My manager evaluates the effectiveness of decisions and uses this information to guide future decisions
    (Click here to add a comment)
  1. The project manager develops and shares effective decision-making practices and tools to further develop the team
    (Click here to add a comment)
If [Participant Name] were to make improvements in Decision Making, 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?

Job Content and Design

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
Not
Applicable
  1. My job makes good use of my skills and abilities
    (Click here to add a comment)
  1. Overall, my workload is reasonable.
    (Click here to add a comment)
  1. The job re-classification process is simple and efficient
    (Click here to add a comment)
  1. My job description accurately reflects what I do on a daily basis
    (Click here to add a comment)
  1. I can adjust my job description as needed
    (Click here to add a comment)
If [Participant Name] were to make improvements in Job Content and Design, 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?

Respect for Others

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
Not
Applicable
  1. I feel respected by management in this organization.
    (Click here to add a comment)
  1. Individual differences are seen as strengths.
    (Click here to add a comment)
  1. Co-workers respect each others' opinions
    (Click here to add a comment)
  1. I am treated with respect by others with whom I work.
    (Click here to add a comment)
  1. Disrespectful behavior is not tolerated.
    (Click here to add a comment)
If [Participant Name] were to make improvements in Respect for Others, 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
  1. I can set aside certain tasks for tomorrow (not everything has to be done today)
    (Click here to add a comment)
  1. I can telecommute to do my job
    (Click here to add a comment)
  1. I feel the company is committed to my well-being
    (Click here to add a comment)
  1. I have activities outside of work that enjoy doing
    (Click here to add a comment)
  1. I am able to turn off (or silence) my devices if I need to
    (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?

Corporate Culture

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
Not
Applicable
  1. The onboarding journey includes cross-functional introductions to expose new hires to diverse team perspectives and shared values.
    (Click here to add a comment)
  1. Our culture focuses on maintaining competitiveness with our external competitors in the marketplace.
    (Click here to add a comment)
  1. I have a sense of security in my job.
    (Click here to add a comment)
  1. The organizational culture enhances employee commitment
    (Click here to add a comment)
  1. Our organizational culture is effective in managing diversity
    (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?

Staffing

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
Not
Applicable
  1. The Company has an excellent workforce planning strategy to meet future needs
    (Click here to add a comment)
  1. The Company has adequate help during peak work loads
    (Click here to add a comment)
  1. My Department has an adequate level of staffing
    (Click here to add a comment)
  1. The Company has a good supply of emerging leaders
    (Click here to add a comment)
  1. My Supervisor is good at determining staffing needs
    (Click here to add a comment)
If [Participant Name] were to make improvements in Staffing, 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?

Resources

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
Not
Applicable
  1. My Supervisor is effective in maximizing the potential of others
    (Click here to add a comment)
  1. I understand the process of allocating fiscal resources
    (Click here to add a comment)
  1. The Company has the right people in the right places.
    (Click here to add a comment)
  1. My workplace is a physically comfortable place to work
    (Click here to add a comment)
  1. I can manage information and technical resources to achieve objectives
    (Click here to add a comment)
If [Participant Name] were to make improvements in Resources, 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
  1. Our company recognizes the importance of Employee Assistance Programs.
    (Click here to add a comment)
  1. I have received follow up inquiries from EAP staff to make sure my issue was resolved.
    (Click here to add a comment)
  1. EAP staff are available for consultation within a few days after initial request.
    (Click here to add a comment)
  1. I feel confident in using the EAP.
    (Click here to add a comment)
  1. Our company has developed a comprehensive EAP policy that serves the needs of employees.
    (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?




  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,
    spacer and then [Company] 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 [Company]?







  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: