Innovation - Employee Opinion Survey Sample #3

Questionnaires Measuring Innovation:
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)
Dear Employee:

Welcome to the Employee Satisfaction 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 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 and . 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


Agree Disagree Strongly
  1. People in My Department are very innovative
  1. My Supervisor looks for new and better ways of doing things
  1. The Company is innovative in developing new ways to serve our customers.
  1. Employees are rewarded for sharing their ideas and suggestions.
  1. My ideas and suggestions are accepted and considered


Agree Disagree Strongly
  1. My job enables me to make use of my skills and abilities
  1. My Department is able to meet its deadlines
  1. My annual review is effective in identifying specific goals for performance improvement.
  1. The Company is able to maximize employee potential
  1. Performance measures are evaluated on a quarterly basis

Decision Making

Agree Disagree Strongly
  1. My supervisor seeks my opinions before making decisions that impact the team/department
  1. Employee opinions are valued
  1. I am involved in important decisions that affect me
  1. Co-workers learn from their bad decisions and rarely repeat them
  1. Decisions are usually made with input from multiple individuals

Problem Solving

Agree Disagree Strongly
  1. Employees seek to acquire new information and knowledge before deciding on a course of action when problem solving
  1. My Department anticipates and resolves problems
  1. Leaders identify problems, collect information from various sources, and synthesize that information into effective solutions
  1. We work together to solve problems
  1. In my job I focus on problem solving instead of fault finding

Customer Service

Agree Disagree Strongly
  1. My supervisor is focused on improving customer service.
  1. Service is responsive and meets the needs of customers
  1. I understand the relationship between my service to internal/external customers and Company's success.
  1. The training I receive reinforces customer focus
  1. My Department is committed to customer service


Agree Disagree Strongly
  1. Tasks that are assigned get completed
  1. Employees do not leave work early
  1. Employees maintain an appropriate appearance
  1. My Manager always acts with professionalism
  1. Employees pay attention to the speaker in meetings


Agree Disagree Strongly
  1. Company offers financial support for diversity programs
  1. The organization respects who I am
  1. The HR Department helps in handling issues related to diversity
  1. Company invests time and energy into building diverse, equitable, and inclusive teams.
  1. Managers in the company genuinely support equal opportunity for women


Agree Disagree Strongly
  1. I receive feedback quickly if my performance is below expectations
  1. I do not feel micro-managed.
  1. I trust the feedback I receive from My Supervisor
  1. I have a good relationship with my supervisor.
  1. My Supervisor communicates the actions necessary for me to take to achieve organizational objectives


Agree Disagree Strongly
  1. The Company helps employees find an ideal balance between work and life responsibilities
  1. I have input into my work schedule.
  1. My Supervisor would let me leave work early if I needed to.
  1. I am able to balance work and my personal life.
  1. I can take time off to handle personal commitments.

Corporate Culture

Agree Disagree Strongly
  1. CompanyName has an image of a high quality company.
  1. The organizational culture enhances employee commitment
  1. People enjoy working for the Company
  1. The Company is a good community neighbor
  1. The Company strives hard to provide a good environment for clients and staff.

  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,
    and then 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 ?

  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: