Initiative - Employee Opinion Survey Sample #11

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 [Company] Employee Survey. Our objective is to understand and express the values which will ensure [Company] is an exceptional place to work. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

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.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. 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.


What does Initiative mean?
It means that ...
  • My supervisor encourages initiative.
  • I feel encouraged to come up with new and better ways of doing things
  • Senior Management at Company encourages initiative.
  • The Company seeks to take advantage of opportunities
  • I am allowed to take initiative to assess my skills and seek appropriate training

To what extent does our company exhibit Initiative?
Select from one of the ratings below.


What does Quality mean?
It means that ...
  • Managers try to prevent production problems before they occur
  • Management supports and encourages finding ways to improve the quality of work products.
  • The Company's image is that of a high quality Employer.
  • Management places importance on quality work.
  • Methods are in place to identify production problems

To what extent does our company exhibit Quality?
Select from one of the ratings below.

Customer Service

What does Customer Service mean?
It means that ...
  • Our team’s current activities reflect a strong focus on the customer
  • My supervisor is focused on improving customer service.
  • My Department is committed to customer service
  • The training I receive reinforces customer focus
  • Managers are focused on improving customer service

To what extent does our company exhibit Customer Service?
Select from one of the ratings below.


What does Facilities mean?
It means that ...
  • I have easy access to the different offices and meeting rooms
  • I am aware of the procedures I need to take to evacuate the building in case of a fire or natural disaster
  • The Company offers excellent parking facilities
  • The Facilities department responses to my requests
  • The Facilities department is responsive when I make requests to fixing equipment and/or office space

To what extent does our company exhibit Facilities?
Select from one of the ratings below.

Wellness Program

What does Wellness Program mean?
It means that ...
  • The wellness program provides a wide array of services to meet my needs
  • The Company wellness program focuses on preventive care, quality of life, and employee satisfaction
  • I feel the wellness program is an excellent support resource for employees
  • I feel confident in using the wellness program
  • The Company is committed to a healthy workforce

To what extent does our company exhibit Wellness Program?
Select from one of the ratings below.

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

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

Please provide explanation:

If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?

What changes do you see [Company] making in order to raise the standards?

I feel good about my continued employment with [Company].

If no, please provide explanation:

What do you like best about working for [Company]?

What do you like least about working for [Company]? How could it be improved?

Use the space below to enter any final comments you would like to be noted: