Change - Employee Opinion Survey Sample #11

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 [Company] Employee Survey. Our objective is to understand and express the values which will ensure [Company] is an exceptional place to work. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

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.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. 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

Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.


What does Change mean?
It means that ...
  • The Leadership keeps a focus on where the Company needs to go
  • The Company is pro-active in implementing changes to address challenges and opportunities
  • Management is able to implement a vision and mission
  • Managers are effective in addressing resistance to change
  • The Leadership involves employees when making significant changes

To what extent does our company exhibit Change?
Select from one of the ratings below.


What does Equipment mean?
It means that ...
  • The tools I have are safe and easy to use
  • I am able to operate the equipment within specifications
  • My supervisor is aware of what certifications are required for this job
  • My Supervisor can operate the equipment and train others
  • I have knowledge of the proper way to setup the machine(s)

To what extent does our company exhibit Equipment?
Select from one of the ratings below.

Career Development

What does Career Development mean?
It means that ...
  • I have been given more responsibilities since when I started
  • Employees are required to create their own Individual Development Plan.
  • My manager discusses my career path with me.
  • Job promotions are awarded fairly and without bias
  • There is opportunity for me to advance at the Company

To what extent does our company exhibit Career Development?
Select from one of the ratings below.


What does Department mean?
It means that ...
  • Employees in my department work together to solve problems.
  • Customer service is important to employees in my department.
  • Employees in the ____ department treat each other with respect.
  • Communication is excellent in our department.
  • Our department generates required quarterly and annual reports on-time.

To what extent does our company exhibit Department?
Select from one of the ratings below.

Employee Assistance Program

What does Employee Assistance Program mean?
It means that ...
  • There is adequate training and orientation provided to the managers and supervisors regarding the EAP.
  • EAP staff are available for consultation within a few days after initial request.
  • There is one-on-one counseling services provided by professionals.
  • I am very satisfied with the level of service provided by the EAP.
  • I can use the EAP when I need help

To what extent does our company exhibit Employee Assistance Program?
Select from one of the ratings below.

On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?

Would you refer others who are seeking employment to [Company]?

Please provide explanation:

If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?

What changes do you see [Company] making in order to raise the standards?

I feel good about my continued employment with [Company].

If no, please provide explanation:

What do you like best about working for [Company]?

What do you like least about working for [Company]? How could it be improved?

Use the space below to enter any final comments you would like to be noted: