Equality - Employee Survey Sample #7

Questionnaires Measuring Equality:
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:
Equality, Human Resources, Systems, Resourcefulness, Innovation, Vision

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:

Equality	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Employees have equal access to facilities and equipment (Click here to add a comment)
Employees are treated with respect regardless of their positions/jobs. (Click here to add a comment)
My department works to eliminate barriers between employee groups (Click here to add a comment)
Employees have equal treatment when performance issues are addressed (Click here to add a comment)
All managers and supervisors undergo training to reinforce the company's desire for equal treatment of employees (Click here to add a comment)
If [Participant Name] were to make improvements in Equality, 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?

Human Resources	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Human Resources treats all employees with courtesy and respect. (Click here to add a comment)
The Human Resources staff is accessible and responsive when I need assistance. (Click here to add a comment)
CompanyName has adequate HR staff and resources to meet the company's needs. (Click here to add a comment)
Human Resources cooperates and works together with all departments to effectively achieve the Company's objectives. (Click here to add a comment)
The HR department has communicated benefit updates and changes regularly and clearly. (Click here to add a comment)
If [Participant Name] were to make improvements in Human 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?

Systems	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Training is implemented as a coordinated part of an overall system of employee development (Click here to add a comment)
The Quality Management system in place helps us achieve compliance with ISO 9001 and other models for quality systems (Click here to add a comment)
The Company uses a systematic process for identifying employee development needs and implementing solutions (Click here to add a comment)
The Company has an excellent employee hiring and selection system (Click here to add a comment)
Continuity of leadership is achieved through effective succession planning (Click here to add a comment)
If [Participant Name] were to make improvements in Systems, 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?

Resourcefulness	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Our department uses analytics when making decisions (Click here to add a comment)
Employees who are resourceful are more likely to be promoted in this organization (Click here to add a comment)
We are encouraged to take advantage of training inhouse and outside the company to improve our skill levels (Click here to add a comment)
Our company finds efficient and innovative ways to solve problems (Click here to add a comment)
We are able to get the most out of the limited resources we have available (Click here to add a comment)
If [Participant Name] were to make improvements in Resourcefulness, 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?

Innovation	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I listen to customer feedback and incorporate their ideas into the procedures used here (Click here to add a comment)
I am able to experiment and take risks to try new things (Click here to add a comment)
The Company recognizes and rewards innovative employees (Click here to add a comment)
My team looks for ways to change processes to improve productivity (Click here to add a comment)
I feel I receive support and encouragement to be creative and innovative (Click here to add a comment)
If [Participant Name] were to make improvements in Innovation, 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?

Vision	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My manager develops a schedule that outlines specific phases, measurables, and deadlines, ensuring that work is systematically aligned and coordinated with the organization's vision (Click here to add a comment)
My manager identifies problems and crafts solutions (Click here to add a comment)
The Company vision includes expectations for employees and departments (Click here to add a comment)
Management is able to communicate a shared vision of the Company to all employees (Click here to add a comment)
I can detects problems and creates solutions (Click here to add a comment)
If [Participant Name] were to make improvements in Vision, 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?