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






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. My Supervisor motivates others to follow new processes
    (Click here to add a comment)
  1. The Company is pro-active in implementing changes to address challenges and opportunities
    (Click here to add a comment)
  1. Managers are effective in addressing resistance to change
    (Click here to add a comment)
  1. My supervisor supports organizational changes.
    (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. We are able to produce quality results with limited resources
    (Click here to add a comment)
  1. The company offers rewards for innovative thinking
    (Click here to add a comment)
  1. My Department is able to solve problems that arise using a variety of alternatives that meet unique situations
    (Click here to add a comment)
  1. Employees in my department are committed to efficiency and using resources wisely
    (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)
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. Co-workers defers decisions upwards only when necessary and appropriate
    (Click here to add a comment)
  1. I feel the department head makes good decisions even under conditions of uncertainty
    (Click here to add a comment)
  1. My coworkers examine relevant factors needed to make a decision
    (Click here to add a comment)
  1. Senior leaders makes sound and timely decisions
    (Click here to add a comment)
  1. Our department tries to develop alternative courses of action and choose based on an analysis of costs and benefits
    (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. I am clear about the expectations of my role.
    (Click here to add a comment)
  1. Overall, my workload is reasonable.
    (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. The job re-classification process is simple and efficient
    (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 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)
  1. Individual differences are seen as strengths.
    (Click here to add a comment)
  1. I feel I am valued at work.
    (Click here to add a comment)
  1. Co-workers treat each other with respect
    (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 am able to complete required tasks before moving on to the next assignment
    (Click here to add a comment)
  1. I can set aside certain tasks for tomorrow (not everything has to be done today)
    (Click here to add a comment)
  1. When I am in meetings with others, I can focus on the meeting and not be distracted by my phone
    (Click here to add a comment)
  1. I am able to schedule vacation time when I want
    (Click here to add a comment)
  1. I have activities outside of work that enjoy doing
    (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 Company strives hard to provide a good environment for clients and staff.
    (Click here to add a comment)
  1. The Company new employee orientation includes information about our culture
    (Click here to add a comment)
  1. The organizational culture enhances employee commitment
    (Click here to add a comment)
  1. People enjoy working for the Company
    (Click here to add a comment)
  1. The Company culture promotes employees to stay within the organization.
    (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 adequate help during peak work loads
    (Click here to add a comment)
  1. My Supervisor is good at determining staffing needs
    (Click here to add a comment)
  1. My Supervisor is good at building a staff of creative and innovative individuals
    (Click here to add a comment)
  1. The Company has a good supply of emerging leaders
    (Click here to add a comment)
  1. My Department has an adequate level of staffing
    (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 workplace is well maintained and safe
    (Click here to add a comment)
  1. I can manage information and technical resources to achieve objectives
    (Click here to add a comment)
  1. I understand the budget process
    (Click here to add a comment)
  1. My Supervisor is effective in maximizing the potential of others
    (Click here to add a comment)
  1. The Company has the right people in the right places.
    (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. Representatives from the EAP provide good documentation and guidance.
    (Click here to add a comment)
  1. There is one-on-one counseling services provided by professionals.
    (Click here to add a comment)
  1. The Employee Assistance Program meets my needs.
    (Click here to add a comment)
  1. I feel the EAP provides confidential services.
    (Click here to add a comment)
  1. Educational seminars and workshops provided through the EAP are benefitial to me.
    (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: