Feedback/Guidance - Employee Opinion Survey Sample #1





Questionnaires Measuring Feedback/Guidance:
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 Opinion Survey. We recognize that our employees are our biggest asset and we are committed to continuing to ensure that the [Company] is considered a great place to work. We would like to hear from you as your opinions will help to guide our objectives.

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.

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

Dimensions Included:
Feedback/Guidance, Performance Appraisal/Management, Job Security, Communication, Customer Service, Change, Training, Benefits


Instructions:
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.




Feedback/Guidance

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. I actively seek feedback from colleagues and customers about my work.
  1. I am comfortable giving feedback to others.
  1. I see my role to include mentoring and coaching others.
  1. I receive mentoring and coaching from my superior.
  1. I do not feel micro-managed.
If [Participant Name] were to make improvements in Feedback/Guidance, 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 Appraisal/Management

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. I am clear about what is expected of me in my position as a result of the Performance Process
  1. The Performance Management process is effective.
  1. My Supervisor is honest and fair in my performance review
  1. The Performance Appraisal system has specific standards
  1. I trust the feedback I receive from my Supervisor
If [Participant Name] were to make improvements in Performance Appraisal/Management, 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?

Job Security

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
If [Participant Name] were to make improvements in Job Security, 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?

Communication

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. Managers are open to receiving feedback from others
  1. I feel ready to offer feedback, even if it involves tough critiques
  1. Company communications keep me up-to-date.
  1. I feel the manager accurately attends to/understands ideas which are exchanged.
  1. My manager courageously takes on challenging questions and provides instant answers
If [Participant Name] were to make improvements in Communication, 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?

Customer Service

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. My supervisor is focused on improving customer service.
  1. The training I receive reinforces customer focus
  1. The corporate culture emphasizes customer service
  1. Service is responsive and meets the needs of customers
  1. Our team’s current activities reflect a strong focus on the customer
If [Participant Name] were to make improvements in Customer Service, 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?

Change

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. My supervisor supports organizational changes.
  1. The Leadership keeps a focus on where the Company needs to go
  1. The Leadership involves employees when making significant changes
  1. The Company is pro-active in implementing changes to address challenges and opportunities
  1. My Department is able to adjust rapidly to a new way of operating
If [Participant Name] were to make improvements in Change, 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?

Training

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. I feel I am well prepared and have the tools to succeed in my role as an associate, supervisor, manager, or top leader.
  1. Training is offered at times convenient to me
  1. The training I receive is relevant to my job
  1. I have received good training to do my job
  1. I am allowed to take initiative to assess my skills and seek appropriate training
If [Participant Name] were to make improvements in Training, 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?

Benefits

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. The Company offers better benefits than other companies
  1. The Company offers a comprehensive benefits package
  1. The Company offers benefits that exceed industry standards
  1. The benefits program meets my needs.
  1. I recognize my benefits are part of an employee total compensation program
If [Participant Name] were to make improvements in Benefits, 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?




  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: