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Equipment - Employee Engagement Survey Sample #3





Surveys Measuring Equipment:
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 Engagement 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.

Dimensions Included:
Equipment, Communication, Planning, Change, Commitment, Supervision, Reorganization, Wellness Program
This survey will take approximately 15-20 minutes to complete. We valued your feedback last year and once again, we encourage you to be honest and constructive in your responses. Should you need to leave your survey before it is complete, you can access it again simply by clicking on the link provided in the introductory email you received. Please do not forward your survey link to any other email address.

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



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Equipment

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. I implement all safety requirements and rules
  1. I perform routine inspection and preventative maintenance on assigned equipment
  1. All employees in my department are aware of the proper safety procedures
  1. My Supervisor is aware of the safety procedures needed to operate the equipment
  1. All employees in my department conduct pre- and post-trip assessments of the equipment


Communication

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. My supervisor is visible and approachable.
  1. The reports our department generates are clear and persuasive
  1. People in our department produce written content that is both succinct and orderly
  1. My Supervisor has excellent communication skills
  1. In our department, we focus communications on the relevant key issues


Planning

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. The department schedules staff based on seasonal needs
  1. The VP has developed strategic plans for the company/organization
  1. My manager is good at avoiding barriers that may inhibit our progress
  1. I plan for the future
  1. My supervisor encourages others to follow the plan


Change

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. The Leadership involves employees when making significant changes
  1. The Company is pro-active in implementing changes to address challenges and opportunities
  1. The Leadership keeps a focus on where the Company needs to go
  1. My Department is able to adjust rapidly to a new way of operating
  1. My Supervisor motivates others to follow new processes


Commitment

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. Coworkers maintain concentration on critical outcomes, even when faced with competing demands or shifting circumstances.
  1. Colleagues encourage commitment in others to obtain results.
  1. Managers connect individual roles to organizational objectives, helping employees see how their work contribute to success.
  1. My manager celebrates milestones and achievements, reinforcing the importance of collective efforts toward commitments.
  1. My manager strengthens employee dedication to applying their skills in service of organizational goals.


Supervision

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. In our department, supervisors enforce workplace rules fairly
  1. Tasks are assigned fairly
  1. My supervisor decides what supplies need to be purchased
  1. Supervisors provides good supervision for the team
  1. Managers in our department encourage teamwork


Reorganization

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. The reorganization has strengthened our position as a company.
  1. The reorganization has helped our department become more efficient.
  1. I think management will function better now that we have reorganized.
  1. The reorganization was effective
  1. My input was recognized and accepted during this reorganization.


Wellness Program

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. I feel the wellness program is an excellent support resource for employees
  1. The Company wellness program is personal and confidential
  1. The Company wellness program focuses on preventive care, quality of life, and employee satisfaction
  1. The Company is committed to a healthy workforce
  1. The Company wellness program is easy to use





  1. 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,
    spacer and then [Company] and the employee contribute on a pre-tax basis to an account used for eligible medical expenses)


  2. 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


  3. How often would you like to participate in after hours company event?






  4. How would you rate your satisfaction with the communication between you and [Company]?







  5. What would you change about your current job or position?


  6. Please identify factors that would improve your job performance in the coming year.


  7. When your performance was discussed with you in the past,
    how often did you receive practical suggestions for improving your work?






  8. How would you rate your overall satisfaction with the company in the past year?






  9. Please give any comments or suggestions on how the company can be improved in the coming year: