Diversity - Employee Opinion Survey Sample #1





Measuring Diversity:
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 Opinion Survey. We recognize that our employees are our biggest asset and we are committed to continuing to ensure that the [Company] is considered a great place to work. We would like to hear from you as your opinions will help to guide our objectives.

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.

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

Dimensions Included:
Diversity, Resources, Company, Wellness Program, Communication, Job Satisfaction, Training, Professionalism, Leadership, Department


Instructions:
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.




Diversity

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. This company values the differences that exist between individuals
  1. My department respects individuals and values their differences
  1. Disabled workers are just as productive as abled workers
  1. Employees of all backgrounds are highly productive in our company.
  1. I rarely hear language/communication at work that I consider offensive or discriminatory.
If [Participant Name] were to make improvements in Diversity, 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
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. My Supervisor is effective in maximizing the potential of others
  1. I understand the process of allocating fiscal resources
  1. My workplace is well maintained and safe
  1. The Company has the right people in the right places.
  1. I can manage information and technical resources to achieve objectives
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?

Company

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. I am motivated to see the company succeed.
  1. Our standards for business ethics are high.
  1. The work policies are well developed and organized.
  1. CompanyName is an ethical company.
  1. CompanyName has the right people in the right places.
If [Participant Name] were to make improvements in Company, 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?

Wellness Program

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. The Company wellness program is personal and confidential
  1. The wellness program is convenient for me
  1. The Company wellness program focuses on preventive care, quality of life, and employee satisfaction
  1. The Company is committed to a healthy workforce
  1. I feel confident in using the wellness program
If [Participant Name] were to make improvements in Wellness 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?

Communication

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. I feel my manager articulates ideas and emotions clearly to others
  1. I feel well informed about company goals and strategic directions.
  1. The team lead communicates company/market changes to appropriate team members in a timely manner
  1. My supervisor maintains self-control in conversations
  1. Associates will mark their status as "available" to signal they are open for communication.
If [Participant Name] were to make improvements in Communication, 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 Satisfaction

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. The people in my department feel good about coming to work
  1. I receive a lot of satisfaction from my job
  1. Considering everything, I am satisfied at this Company
  1. I am proud to tell others I work for the Company
  1. I feel satisfied at the Company
If [Participant Name] were to make improvements in Job Satisfaction, 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?

Training

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. The Company employs competent and skilled trainers
  1. I am allowed to take initiative to assess my skills and seek appropriate training
  1. I feel I am well prepared and have the tools to succeed in my role as an associate, supervisor, manager, or top leader.
  1. I have received good training to do my job
  1. The Company supports efforts by employees to obtain training on new skills
If [Participant Name] were to make improvements in Training, 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?

Professionalism

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. My Manager always acts with professionalism
  1. Employees pay attention to the speaker in meetings
  1. Tasks that are assigned get completed
  1. Customers receive professional service
  1. Employees do not leave work early
If [Participant Name] were to make improvements in Professionalism, 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?

Leadership

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. The Leadership helps maximize business results
  1. Leadership at the Company encourages initiative and risk taking
  1. The Leadership promotes team morale and builds organizational commitment
  1. Leaders identify problems, collect information from various sources, and synthesize that information into effective solutions
  1. Leaders are open to feedback from multiple perspectives
If [Participant Name] were to make improvements in Leadership, 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?

Department

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. Our department uses performance measures to assess progress towards important goals.
  1. My team looks for ways to change processes to improve performance.
  1. My work group looks for ways to change processes to improve productivity.
  1. Our department conducts regular meetings to keep everyone on the same page.
  1. The department manager keeps us informed of the goals for the department.
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?




  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: