Employee Assistance - Employee Survey Sample #8

Surveys Measuring Employee Assistance:
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.

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

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.

Employee Assistance Program

Agree Unsure Disagree N/A
  1. I feel confident in using the EAP
  1. The Company EAP is confidential
  1. I can use the EAP when I need help
  1. I am able to reach someone quickly when I have questions or need to use the service.
  1. The EAP allows for early intervention to help employees.


Agree Unsure Disagree N/A
  1. Managers encourage initiative
  1. Managers are effective in putting the right people in the right places
  1. Managers follow the grievance procedures
  1. The managers involve us in decisions affecting our work
  1. I have enough resources and support to adequately manage my department.


Agree Unsure Disagree N/A
  1. I have a good relationship with my co-workers.
  1. Our team fosters open communication
  1. Employees in this Company work well together.
  1. Teamwork is positively impacting our business results.
  1. Other team members will help me if I need help


Agree Unsure Disagree N/A
  1. I can alter my work schedule to suit my needs.
  1. The Company helps employees find an ideal balance between work and life responsibilities
  1. The Company offers me the flexibility I want in allowing me to work at home or change my hours, when required
  1. My Supervisor would let me leave work early if I needed to.
  1. I am able to balance work and my personal life.


Agree Unsure Disagree N/A
  1. The Company is able to maximize employee potential
  1. My job enables me to make use of my skills and abilities
  1. I am held accountable for achieving specific results
  1. Performance measures are evaluated on a quarterly basis
  1. My Supervisor is able to manage time effectively

Information Technology/IT

Agree Unsure Disagree N/A
  1. I receive adequate support from the IT Department.
  1. There is adequate communication between Information Technology and our department.
  1. IT Staff are good at troubleshooting issues to get to the root cause of the problem.
  1. Information Technology staff at this Company are easy to approach with a work related problem.
  1. The IT Department maintains good documentation on any changes or issues.


Agree Unsure Disagree N/A
  1. The building I work in is well maintained
  1. The Facilities department responses to my requests
  1. I have easy access to the different offices and meeting rooms
  1. The Company offers excellent parking facilities
  1. The Facilities department is responsive when I make requests to fixing equipment and/or office space

General Open Ended Questions

  1. What are the top three challenges you face in your job?

  2. Would you refer others who are seeking employment to [Company]?

    If not, please explain:

  3. Are there any changes to an existing workflow, process or procedure you believe could improve your ability to perform your job more effectively or efficiently?

    If so, please describe:

  4. In your opinion, what are positive aspects of [Company]?

  5. What is the most important thing you would like to see [Company] do to improve as a place to work?

  6. On a scale of Excellent to Poor, how would you rate your overall employment experience
    with [Company] and why?

  7. Please enter any final comments you would like to share.


Questions below are optional, however, providing this information
will help us make accurate conclusions for specific work groups.
None of this information will be used to identify individual respondents.
  1. Your department:

  2. Years of Service:

  3. Your location:

  4. Your shift: