Initiative - Employee Survey Sample #8

Surveys Measuring Initiative:
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.

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

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.


Agree Unsure Disagree N/A
  1. Senior Management at Company encourages initiative.
  1. The Company seeks to take advantage of opportunities
  1. My supervisor encourages initiative.
  1. I am allowed to take initiative to assess my skills and seek appropriate training
  1. Leadership at the Company encourages initiative and risk taking


Agree Unsure Disagree N/A
  1. There is good communication between me and my supervisor
  1. Decisions are clear and are communicated effectively organization-wide.
  1. Managers communicate a clear sense of direction for my organization.
  1. CompanyName does a good job communicating business objectives.
  1. Information and knowledge are freely shared at the Company

Decision Making

Agree Unsure Disagree N/A
  1. As a team, we make decisions together
  1. My supervisor seeks my opinions before making decisions that impact the team/department
  1. Employee opinions are valued
  1. My team makes decisions based on data
  1. Co-workers learn from their bad decisions and rarely repeat them


Agree Unsure Disagree N/A
  1. Performance measures are evaluated on a quarterly basis
  1. My job enables me to make use of my skills and abilities
  1. I get a sense of personal accomplishment from my work
  1. My Department is able to meet its deadlines
  1. I am held accountable for achieving specific results


Agree Unsure Disagree N/A
  1. I can step in for co-workers when needed
  1. I am able to take on new tasks
  1. Management is able to adjust rapidly to new situations
  1. The Company is willing to accept change
  1. The Company supports my needs to adapt to a changing work environment

Respect for Others

Agree Unsure Disagree N/A
  1. Co-workers treat each other with respect
  1. Individual differences are seen as strengths.
  1. I feel respected by management in this organization.
  1. Co-workers respect each others' opinions
  1. At this company, my suggestions are given serious consideration.


Agree Unsure Disagree N/A
  1. Customer service is important to employees in my department.
  1. Employees in the ____ department have a shared vision for the future.
  1. The department manager keeps us informed of the goals for the department.
  1. Employees in our department try to help customers.
  1. I am aware of the specific goals our department has for completion this year.


Agree Unsure Disagree N/A
  1. I know where to go to if I have concerns about these changes.
  1. The reorganization has increased productivity in My Department
  1. The reorganization was effective
  1. Management has clearly explained the purpose for the reorganization.
  1. The reorganization has helped our department become more efficient.

Employee Relations

Agree Unsure Disagree N/A
  1. Good performance is rewarded at the Company
  1. The company values my input
  1. Managers follow the grievance procedures
  1. My Supervisor is not afraid to take disciplinary action when needed
  1. Conflicts are resolved in a positive and constructive manner

General Open Ended Questions

  1. What are the top three challenges you face in your job?

  2. Would you refer others who are seeking employment to [Company]?

    If not, please explain:

  3. Are there any changes to an existing workflow, process or procedure you believe could improve your ability to perform your job more effectively or efficiently?

    If so, please describe:

  4. In your opinion, what are positive aspects of [Company]?

  5. What is the most important thing you would like to see [Company] do to improve as a place to work?

  6. On a scale of Excellent to Poor, how would you rate your overall employment experience
    with [Company] and why?

  7. Please enter any final comments you would like to share.


Questions below are optional, however, providing this information
will help us make accurate conclusions for specific work groups.
None of this information will be used to identify individual respondents.
  1. Your department:

  2. Years of Service:

  3. Your location:

  4. Your shift: