Department - Employee Survey Sample #7

Questionnaires Measuring Department:
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:
Department, Vision, Employee Assistance Program, Rewards/Recognition, Performance, Safety, Equipment, Supervisor

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:

Department	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My coworkers are productive and produce quality work. (Click here to add a comment)
The employees in my department are productive. (Click here to add a comment)
The department conducts a regular inventory of equipment. (Click here to add a comment)
I think the end-of-year bonus for our department helps to ensure a high level of productivity. (Click here to add a comment)
Employees in the ____ department have a shared vision for the future. (Click here to add a comment)
If [Participant Name] were to make improvements in Department, 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
The Company vision includes expectations for employees and departments (Click here to add a comment)
A shared vision is developed with various stakeholders (Click here to add a comment)
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)
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?

Employee Assistance Program	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Representatives from the EAP provide good documentation and guidance. (Click here to add a comment)
The EAP providers follow up with employees who are absent from work. (Click here to add a comment)
The Employee Assistance Program provides services that I need. (Click here to add a comment)
The Employee Assistance Program meets my needs. (Click here to add a comment)
The Company EAP is confidential (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?

Rewards/Recognition	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I am recognized whenever I do a good job (Click here to add a comment)
I understand the Company reward philosophy and processes (Click here to add a comment)
Everyone has a chance to be recognized. (Click here to add a comment)
The rewards and recognition I receive are attractive and competitive (Click here to add a comment)
Performance incentives are clearly linked to standards and goals (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?

Performance	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My annual review is effective in identifying specific goals for performance improvement. (Click here to add a comment)
My Department is able to meet its deadlines (Click here to add a comment)
The Company is able to maximize employee potential (Click here to add a comment)
My Supervisor is able to manage time effectively (Click here to add a comment)
My job enables me to make use of my skills and abilities (Click here to add a comment)
If [Participant Name] were to make improvements in Performance, 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?

Safety	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
The safety and health conditions where I work are good (Click here to add a comment)
I know what to do in an emergency situation (Click here to add a comment)
Managers pay attention to workplace safety (Click here to add a comment)
Safety is a primary concern at the Company (Click here to add a comment)
My manager does not compromise on safety (Click here to add a comment)
If [Participant Name] were to make improvements in Safety, 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
I have enough supplies on hand to perform the work each day (Click here to add a comment)
Employees in my department know the proper safety protocols (Click here to add a comment)
Employees in my department regularly check and maintain equipment (Click here to add a comment)
The Company provides training for operating new equipment (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?

Supervisor	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My Supervisor is open to suggestions (Click here to add a comment)
My Supervisor establishes responsibility and accountability in their subordinates (Click here to add a comment)
My Supervisor effectively resolves employee problems and labor issues (Click here to add a comment)
My Supervisor motivates others to follow new processes (Click here to add a comment)
My Supervisor has high technical skills (Click here to add a comment)
If [Participant Name] were to make improvements in Supervisor, 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?