Flexibility - Employee Survey Sample #7

Surveys Measuring Flexibility:
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:
Flexibility, Supervisor, Performance, Safety, Equipment, Rewards/Recognition, Employee Assistance Program, Corporate Culture, 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:

Flexibility	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
The manager has re-organized the functions in the department. (Click here to add a comment)
The supervisor is flexible in considering different viewpoints. (Click here to add a comment)
Coworkers are able to adapts to new technology and systems. (Click here to add a comment)
Our department responds positively to unanticipated changes in the work schedule. (Click here to add a comment)
My manager accommodates the needs of employees as best as possible when requests for time off are made. (Click here to add a comment)
If [Participant Name] were to make improvements in Flexibility, 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?

Supervisor	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My Supervisor is a calming force during stressful periods (Click here to add a comment)
My Supervisor exemplifies professionalism in the workplace (Click here to add a comment)
My Supervisor has helped in my career development (Click here to add a comment)
My Supervisor gives employees feedback on a regular basis (Click here to add a comment)
My Supervisor provides good supervision for the team (Click here to add a comment)
If [Participant Name] were to make improvements in Supervisor, 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)
Performance measures are evaluated on a quarterly basis (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)
My Department is able to meet its deadlines (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
My manager does not compromise on safety (Click here to add a comment)
My work environment is safe (Click here to add a comment)
Safety is a primary concern at the Company (Click here to add a comment)
Managers pay attention to workplace safety (Click here to add a comment)
I know what to do in an emergency situation (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?

Equipment	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I am able to safely load and unload equipment from vehicles (Click here to add a comment)
Our department has all of the operations manuals for the equipment used (Click here to add a comment)
I implement all safety requirements and rules (Click here to add a comment)
I am provided with tools and equipment that are up-to-date (Click here to add a comment)
I am easily able to order more supplies for the equipment as needed (Click here to add a comment)
If [Participant Name] were to make improvements in Equipment, 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?

Rewards/Recognition	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My supervisor values and appreciates my contributions. (Click here to add a comment)
I am rewarded for exceeding my goals (Click here to add a comment)
Performance incentives are clearly linked to standards and goals (Click here to add a comment)
I understand the Company reward philosophy and processes (Click here to add a comment)
My Supervisor praises me for a job well done (Click here to add a comment)
If [Participant Name] were to make improvements in Rewards/Recognition, 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 Assistance Program	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
The EAP is convenient and its services are easy to access. (Click here to add a comment)
The EAP used by the Company meets the established standards for service. (Click here to add a comment)
The Employee Assistance Program meets my needs. (Click here to add a comment)
I have good options for care/treatment when utilizing the Employee Assistance Program. (Click here to add a comment)
The EAP practitioners are professional, experienced, dedicated to their work. (Click here to add a comment)
If [Participant Name] were to make improvements in Employee Assistance Program, 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?

Corporate Culture	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Employees are generally friendly and willing to help you if needed (Click here to add a comment)
The culture helps employees work together (Click here to add a comment)
The Company new employee orientation includes information about our culture (Click here to add a comment)
I believe that Company's open door policy is effective. (Click here to add a comment)
People enjoy working for the Company (Click here to add a comment)
If [Participant Name] were to make improvements in Corporate Culture, 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
The project manager designs strategies that mirror the organization's unified vision (Click here to add a comment)
Senior leadership creates and executes a strategic vision that drives the company's growth forward (Click here to add a comment)
Employees in my department persuade each other to follow the Company's vision (Click here to add a comment)
Our company has a vision to successfully empower employees to make more effective decisions (Click here to add a comment)
The team leader directs efforts towards key elements of the vision (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?