Employee Assistance - Employee Opinion Survey Sample #11

Questionnaires 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 [Company] Employee Survey. Our objective is to understand and express the values which will ensure [Company] is an exceptional place to work. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

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.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. 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

What does Employee Assistance Program mean?
It means that ...
  • Supervisors and managers are receptive to helping employees utilize the services offered by the EAP.
  • The EAP providers follow up with employees who are absent from work.
  • The EAP used by the Company helps improve job performance.
  • There is one-on-one counseling services provided by professionals.
  • The EAP process includes opportunities for me to provide feedback to help improve the process.

To what extent does our company exhibit Employee Assistance Program?
Select from one of the ratings below.

Decision Making

What does Decision Making mean?
It means that ...
  • Decisions are usually made with input from multiple individuals
  • Co-workers learn from their bad decisions and rarely repeat them
  • As a team, we make decisions together
  • Senior Management discusses issues and ideas with employees before making major changes
  • I am involved in important decisions that affect me

To what extent does our company exhibit Decision Making?
Select from one of the ratings below.

Customer Service

What does Customer Service mean?
It means that ...
  • Managers are focused on improving customer service
  • The training I receive reinforces customer focus
  • Our team’s current activities reflect a strong focus on the customer
  • I understand the relationship between my service to internal/external customers and Company's success.
  • My supervisor is focused on improving customer service.

To what extent does our company exhibit Customer Service?
Select from one of the ratings below.


What does Resourcefulness mean?
It means that ...
  • We are able to get the most out of the limited resources we have available
  • My Supervisor wants employees to use the supplies wisely
  • We are encouraged to think of new ways to solve problems.
  • Employees in my department are willing to try new things and new ways of getting the work done
  • My manager encourages us to find solutions that are "outside of the box".

To what extent does our company exhibit Resourcefulness?
Select from one of the ratings below.


What does Department mean?
It means that ...
  • Our department is aligned with the overall goals of the organization.
  • Employees work well with each other in the department.
  • Communication in the ____ department is good.
  • Employees in my department work together to solve problems.
  • Customer service is important to employees in my department.

To what extent does our company exhibit Department?
Select from one of the ratings below.

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

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

Please provide explanation:

If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?

What changes do you see [Company] making in order to raise the standards?

I feel good about my continued employment with [Company].

If no, please provide explanation:

What do you like best about working for [Company]?

What do you like least about working for [Company]? How could it be improved?

Use the space below to enter any final comments you would like to be noted: