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
Employees in my department treat me with respect and dignity. (Click here to add a comment)
Employees in my department work together to solve problems. (Click here to add a comment)
Customer service is important to employees in my department. (Click here to add a comment)
Employees in the department are aware of the goals that need to be achieved. (Click here to add a comment)
Conditions in my work area allow me to be highly productive. (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
Our department creates a vision to align corporate strategies with the organization's value system (Click here to add a comment)
Our department builds a culture that reinforces the manager's vision (Click here to add a comment)
The department manager charts a bold course for the department's evolution (Click here to add a comment)
Managers encourage employees to embrace the departmental vision (Click here to add a comment)
I am able to envision and articulate a clear path for the department's growth over the next year (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
The EAP provides a wide array of services to meet my needs (Click here to add a comment)
Representatives from the EAP provide good documentation and guidance. (Click here to add a comment)
Educational seminars and workshops provided through the EAP are benefitial to me. (Click here to add a comment)
Representatives from the EAP provide followup/referral services. (Click here to add a comment)
The EAP used by the Company helps improve job performance. (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)
My Supervisor praises me for a job well done (Click here to add a comment)
My rewards package is representative of my job performance (Click here to add a comment)
My supervisor values and appreciates my contributions. (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
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)
Performance measures are evaluated on a quarterly basis (Click here to add a comment)
My Department is able to meet its deadlines (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
My manager does not compromise on safety (Click here to add a comment)
My work environment is safe (Click here to add a comment)
My Supervisor would not ask me to perform an unsafe procedure (Click here to add a comment)
The safety and health conditions where I work are good (Click here to add a comment)
Safety is a primary concern at the Company (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
Employees in my department follow instructions well (Click here to add a comment)
I am able to safely operate heavy equipment (Click here to add a comment)
I have knowledge of the proper way to setup the machine(s) (Click here to add a comment)
I am easily able to order more supplies for the equipment as needed (Click here to add a comment)
I have the uniform, tools, and equipment I need to do my job (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 provides direction and coaching to employees (Click here to add a comment)
My Supervisor is respectful toward employees (Click here to add a comment)
My Supervisor maintains a calm demeanor when addressing stressful issues in the workplace (Click here to add a comment)
My Supervisor seeks to enhance the performance of employees under their supervision (Click here to add a comment)
My Supervisor encourages good working relationships between employees (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?