Diversity - Employee Survey Sample #7

Questionnaires 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 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:
Diversity, Job Content and Design, Equipment, Career Development, Supervisor, Corporate Culture, Employee Relations

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:

Diversity	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Company invests time and energy into building diverse, equitable, and inclusive teams. (Click here to add a comment)
Company offers financial support for diversity programs (Click here to add a comment)
Employees of all races have an equal opportunity for promotions. (Click here to add a comment)
Disabled workers are just as productive as abled workers (Click here to add a comment)
I feel respected and valued by my teammates in terms of diversity, equity, and inclusion. (Click here to add a comment)
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?

Job Content and Design	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My job description accurately reflects what I do on a daily basis (Click here to add a comment)
Overall, my workload is reasonable. (Click here to add a comment)
The job re-classification process is simple and efficient (Click here to add a comment)
I can adjust my job description as needed (Click here to add a comment)
I am clear about the expectations of my role. (Click here to add a comment)
If [Participant Name] were to make improvements in Job Content and Design, 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
Our department maintains a log of preventative maintenance performed (Click here to add a comment)
I often complete preventative maintenance on the equipment to keep it in good working order (Click here to add a comment)
My supervisor is aware of all safety requirements and rules (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)
My supervisor is aware of what certifications are required for this 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?

Career Development	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Employees are required to create their own Individual Development Plan. (Click here to add a comment)
There is opportunity for me to advance at the Company (Click here to add a comment)
My Supervisor has taken an interest in my career development (Click here to add a comment)
I have the skills needed to advance my career. (Click here to add a comment)
At work, I have opportunities to learn and grow (Click here to add a comment)
If [Participant Name] were to make improvements in Career Development, 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 asks employees for their ideas and opinions (Click here to add a comment)
My Supervisor enhances teamwork through good supervision (Click here to add a comment)
My immediate supervisor sets a good example. (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 offers non-monetary rewards as incentives for 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?

Corporate Culture	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
CompanyName has an image of a high quality company. (Click here to add a comment)
The organizational culture enhances employee commitment (Click here to add a comment)
The Company new employee orientation includes information about our culture (Click here to add a comment)
Employees are generally friendly and willing to help you if needed (Click here to add a comment)
The culture helps employees work together (Click here to add a comment)
If [Participant Name] were to make improvements in Corporate Culture, 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 Relations	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
The Company holds quarterly and annual gatherings to keep everyone up-to-date (Click here to add a comment)
The administrative policies are implemented fairly across the organization (Click here to add a comment)
Our Company supports employees who work remotely (Click here to add a comment)
Managers are willing to delegate responsibilities to employees (Click here to add a comment)
Labor and Management are committed to working together (Click here to add a comment)
If [Participant Name] were to make improvements in Employee Relations, 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?