Employee Assistance - Employee Opinion Survey Sample #10

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 Satisfaction 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

  • The EAP is convenient for me
  • There is adequate training and orientation provided to the managers and supervisors regarding the EAP.
  • EAP providers/practitioners have good credentials for the services they are providing.
  • There is one-on-one counseling services provided by professionals.
  • The services offered by the EAP help improve employee performance through reduced absences and tardiness.
If the Company were to make improvements in Employee Assistance Program, what are your suggestions for how we can improve this?

Wellness Program

  • The Company is committed to a healthy workforce
  • I feel confident in using the wellness program
  • I feel the wellness program is an excellent support resource for employees
  • The Company wellness program is personal and confidential
  • The Company wellness program focuses on preventive care, quality of life, and employee satisfaction
If the Company were to make improvements in Wellness Program, what are your suggestions for how we can improve this?


  • The safety and health conditions where I work are good
  • Managers pay attention to workplace safety
  • My Supervisor would not ask me to perform an unsafe procedure
  • My work environment is safe
  • Managers regularly meet with employees to discuss safety issues
If the Company were to make improvements in Safety, what are your suggestions for how we can improve this?


  • Managers establish responsibility and accountability among employees
  • My Manager sets a good example
  • Managers are held accountable for achieving results
  • Managers encourage initiative
  • Managers follow the grievance procedures
If the Company were to make improvements in Management, what are your suggestions for how we can improve this?


  • The Company focus is clearly on customers and the development of innovative products
  • Management is able to communicate a shared vision of the Company to all employees
  • A shared vision is developed with various stakeholders
  • The Company vision includes expectations for employees and departments
  • Labor and Management work together to achieve the Company vision
If the Company were to make improvements in Vision, what are your suggestions for how we can improve this?