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





Department

 Strongly
Disagree		 Disagree Neutral Agree Strongly
Agree		 Not
Applicable
  1. My department supports diversity initiatives.
    (Click here to add a comment)
  1. My team looks for ways to change processes to improve performance.
    (Click here to add a comment)
  1. Employees in my department treat me with respect and dignity.
    (Click here to add a comment)
  1. Communication is good between departments.
    (Click here to add a comment)
  1. The employees in my department are 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
  1. My manager develops a schedule that outlines specific phases, measurables, and deadlines, ensuring that work is systematically aligned and coordinated with the organization's vision
    (Click here to add a comment)
  1. I am able to diagnose issues and problems and to create a vision for their solutions
    (Click here to add a comment)
  1. Leadership is effective in establishing the direction and strategy for the organization
    (Click here to add a comment)
  1. The manager crafts strategic plans that embody the organization's shared vision
    (Click here to add a comment)
  1. Our leader is forward thinking and leads employees in new directions
    (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
  1. I am able to reach someone quickly when I have questions or need to use the service.
    (Click here to add a comment)
  1. The EAP is convenient and its services are easy to access.
    (Click here to add a comment)
  1. EAP providers/practitioners have good credentials for the services they are providing.
    (Click here to add a comment)
  1. I have good options for care/treatment when utilizing the Employee Assistance Program.
    (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?

Rewards/Recognition

 Strongly
Disagree		 Disagree Neutral Agree Strongly
Agree		 Not
Applicable
  1. My rewards package is representative of my job performance
    (Click here to add a comment)
  1. The rewards and recognition I receive are attractive and competitive
    (Click here to add a comment)
  1. Everyone has a chance to be recognized.
    (Click here to add a comment)
  1. I am recognized whenever I do a good job
    (Click here to add a comment)
  1. I understand the Company reward philosophy and processes
    (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
  1. My Department is able to meet its deadlines
    (Click here to add a comment)
  1. My Supervisor is able to manage time effectively
    (Click here to add a comment)
  1. I get a sense of personal accomplishment from my work
    (Click here to add a comment)
  1. My annual review is effective in identifying specific goals for performance improvement.
    (Click here to add a comment)
  1. I am held accountable for achieving specific results
    (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
  1. My work environment is safe
    (Click here to add a comment)
  1. Safety is a primary concern at the Company
    (Click here to add a comment)
  1. Managers regularly meet with employees to discuss safety issues
    (Click here to add a comment)
  1. My Supervisor would not ask me to perform an unsafe procedure
    (Click here to add a comment)
  1. I know what to do in an emergency situation
    (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
  1. My supervisor is aware of all safety requirements and rules
    (Click here to add a comment)
  1. The tools I have are safe and easy to use
    (Click here to add a comment)
  1. I have the parts and supplies needed to regularly maintain the equipment
    (Click here to add a comment)
  1. I have knowledge of proper safety protocols
    (Click here to add a comment)
  1. I have all the tools needed to repair equipment and keep it operational
    (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
  1. My Supervisor delegates tasks to employees according to their skills (skill level)
    (Click here to add a comment)
  1. My Supervisor is able to manage emotions during difficult times
    (Click here to add a comment)
  1. My Supervisor maintains self-control in stressful situations
    (Click here to add a comment)
  1. My Supervisor recognizes and rewards excellent employees
    (Click here to add a comment)
  1. My Supervisor recognizes those who have exceeded expectations
    (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?





  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: