Facilities - Employee Survey Sample #7

Questionnaires Measuring Facilities:
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:
Facilities, Performance, Safety, Teamwork, Stress, Company, Turnover, Equality, Employee Development

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:

Facilities	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I am aware of the procedures I need to take to evacuate the building in case of a fire or natural disaster (Click here to add a comment)
The Facilities department is responsive when I make requests to fixing equipment and/or office space (Click here to add a comment)
The building I work in is well maintained (Click here to add a comment)
The Company offers excellent parking facilities (Click here to add a comment)
I have easy access to the different offices and meeting rooms (Click here to add a comment)
If [Participant Name] were to make improvements in Facilities, 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?

Performance	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I get a sense of personal accomplishment from my work (Click here to add a comment)
My Department is able to meet its deadlines (Click here to add a comment)
The Company is able to maximize employee potential (Click here to add a comment)
My job enables me to make use of my skills and abilities (Click here to add a comment)
My annual review is effective in identifying specific goals for performance improvement. (Click here to add a comment)
If [Participant Name] were to make improvements in Performance, 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?

Safety	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Managers regularly meet with employees to discuss safety issues (Click here to add a comment)
My work environment is safe (Click here to add a comment)
My manager does not compromise on safety (Click here to add a comment)
Safety is a primary concern at the Company (Click here to add a comment)
My Supervisor would not ask me to perform an unsafe procedure (Click here to add a comment)
If [Participant Name] were to make improvements in Safety, 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?

Teamwork	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Employees in this Company work well together. (Click here to add a comment)
Teamwork is positively impacting our business results. (Click here to add a comment)
Other team members will help me if I need help (Click here to add a comment)
Leaders promote teamwork (Click here to add a comment)
At this company, work groups cooperate with each other to minimize unnecessary work. (Click here to add a comment)
If [Participant Name] were to make improvements in Teamwork, 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?

Stress	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I have a relaxed and positive outlook (Click here to add a comment)
I can change how I work if I want to (Click here to add a comment)
I do not fear losing my job (Click here to add a comment)
I rarely experience stress here (Click here to add a comment)
I participate in decisions that affect me (Click here to add a comment)
If [Participant Name] were to make improvements in Stress, 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?

Company	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
This company is innovative in developing new ways to serve our customers. (Click here to add a comment)
CompanyName has the right people in the right places. (Click here to add a comment)
CompanyName is an ethical company. (Click here to add a comment)
The work policies are well developed and organized. (Click here to add a comment)
CompanyName is making changes necessary to stay competitive. (Click here to add a comment)
If [Participant Name] were to make improvements in Company, 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?

Turnover	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I plan to be working at the Company forever (Click here to add a comment)
Opportunities for advancement at CompanyName help reduce turnover. (Click here to add a comment)
The benefits package provided by CompanyName helps reduce turnover. (Click here to add a comment)
Our department is able to attract and retain excellent employees (Click here to add a comment)
The level of pay offered by the Company helps to reduce turnover (Click here to add a comment)
If [Participant Name] were to make improvements in Turnover, 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?

Equality	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Employees have equal access to resources used at the Company (Click here to add a comment)
I am aware of our company's policies regarding harassment in the workplace (Click here to add a comment)
My department works to eliminate barriers between employee groups (Click here to add a comment)
My manager engages in practices to improve equality at work (Click here to add a comment)
I have the same resources to do my job as my coworkers (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?

Employee Development	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
The Company is aware of our department's training needs. (Click here to add a comment)
I am continuously learning and trying to improve myself (Click here to add a comment)
I have access to continuous training opportunities (Click here to add a comment)
Training is offered on critical applications and equipment when needed (Click here to add a comment)
Having a mentor is important to me. (Click here to add a comment)
If [Participant Name] were to make improvements in Employee Development, 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?