Innovation - Employee Survey Sample #7





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; 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

Dimensions Included:
Innovation, Planning, Problem Solving, Performance, Flexibility, Resourcefulness, Teamwork, Information Technology, Reorganization, Resources,


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.



Innovation

 Strongly
Disagree		 Disagree Neutral Agree Strongly
Agree		 Not
Applicable
  1. I subscribe to industry magazines and newsletters to stay aware of the latest innovations in our industry
    (Click here to add a comment)
  1. My manager encourages us to create innovative solutions
    (Click here to add a comment)
  1. I look for creative ways to conserve our supplies/resources
    (Click here to add a comment)
  1. My manager supports our efforts to incorporate the latest technological advancements
    (Click here to add a comment)
  1. Our department is aware of disruptive trends in our industry
    (Click here to add a comment)
If [Participant Name] were to make improvements in Innovation, 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?

Planning

 Strongly
Disagree		 Disagree Neutral Agree Strongly
Agree		 Not
Applicable
  1. I know what courses of action are available
    (Click here to add a comment)
  1. I have plans to handle unexpected events
    (Click here to add a comment)
  1. My manager sets milestones to track progress on the plan
    (Click here to add a comment)
  1. My supervisor understands that the initial plans may need to be adjusted
    (Click here to add a comment)
  1. My manager accurately estimates the duration of tasks
    (Click here to add a comment)
If [Participant Name] were to make improvements in Planning, 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?

Problem Solving

 Strongly
Disagree		 Disagree Neutral Agree Strongly
Agree		 Not
Applicable
  1. In my job I focus on problem solving instead of fault finding
    (Click here to add a comment)
  1. We resolve issues in our organization without resorting to blame, anger, or retribution.
    (Click here to add a comment)
  1. Employees seek to acquire new information and knowledge before deciding on a course of action when problem solving
    (Click here to add a comment)
  1. We work together to solve problems
    (Click here to add a comment)
  1. Leaders identify problems, collect information from various sources, and synthesize that information into effective solutions
    (Click here to add a comment)
If [Participant Name] were to make improvements in Problem Solving, 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
  1. My Department is able to meet its deadlines
    (Click here to add a comment)
  1. Performance measures are evaluated on a quarterly basis
    (Click here to add a comment)
  1. My Supervisor is able to manage time effectively
    (Click here to add a comment)
  1. I am held accountable for achieving specific results
    (Click here to add a comment)
  1. The Company is able to maximize employee potential
    (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?

Flexibility

 Strongly
Disagree		 Disagree Neutral Agree Strongly
Agree		 Not
Applicable
  1. My manager adapts strategies to fit the specific needs of each situation.
    (Click here to add a comment)
  1. The project lead embraces change and is willing to pivot strategies based on new information.
    (Click here to add a comment)
  1. The company supports a flexible culture that values continuous improvement and innovation.
    (Click here to add a comment)
  1. Our team is flexible in their approach to dealing with unpredictable events.
    (Click here to add a comment)
  1. The project team experiments with new ideas to create innovative solutions to issues.
    (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?

Resourcefulness

 Strongly
Disagree		 Disagree Neutral Agree Strongly
Agree		 Not
Applicable
  1. Employees in my department are committed to fixing issues and solving problems
    (Click here to add a comment)
  1. Our department offers an innovation reward
    (Click here to add a comment)
  1. Efficiency is encouraged
    (Click here to add a comment)
  1. I look for ways to improve workplace practices
    (Click here to add a comment)
  1. My department is able to overcome difficult challenges
    (Click here to add a comment)
If [Participant Name] were to make improvements in Resourcefulness, 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?

Teamwork

 Strongly
Disagree		 Disagree Neutral Agree Strongly
Agree		 Not
Applicable
  1. The team leader facilitates conflict resolution discussions between individuals
    (Click here to add a comment)
  1. Other team members will help me if I need help
    (Click here to add a comment)
  1. I have a good relationship with my co-workers.
    (Click here to add a comment)
  1. Our team has an environment that fosters teamwork rather than individual competition
    (Click here to add a comment)
  1. Team members work well with each other on the project
    (Click here to add a comment)
If [Participant Name] were to make improvements in Teamwork, 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?

Information Technology/IT

 Strongly
Disagree		 Disagree Neutral Agree Strongly
Agree		 Not
Applicable
  1. If I have an IT problem, I know who to contact.
    (Click here to add a comment)
  1. The IT Department is quick to respond to my issues.
    (Click here to add a comment)
  1. IT Department staff usually have the answers when I need help.
    (Click here to add a comment)
  1. The IT Department maintains good documentation on any changes or issues.
    (Click here to add a comment)
  1. The training seminars offered by the IT Department are relevant and informative.
    (Click here to add a comment)
If [Participant Name] were to make improvements in Information Technology/IT, 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?

Reorganization

 Strongly
Disagree		 Disagree Neutral Agree Strongly
Agree		 Not
Applicable
  1. I am happy with my new job assignments.
    (Click here to add a comment)
  1. The Leadership seeks and incorporates new and relevant information that has an impact on the Company reorganization
    (Click here to add a comment)
  1. The reorganization was effective
    (Click here to add a comment)
  1. The reorganization significantly altered how I do my job
    (Click here to add a comment)
  1. I would be willing to move to a different location if needed.
    (Click here to add a comment)
If [Participant Name] were to make improvements in Reorganization, 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?

Resources

 Strongly
Disagree		 Disagree Neutral Agree Strongly
Agree		 Not
Applicable
  1. I understand the budget process
    (Click here to add a comment)
  1. I can manage information and technical resources to achieve objectives
    (Click here to add a comment)
  1. The Company has the right people in the right places.
    (Click here to add a comment)
  1. I have all the tools and equipment I need to do my job well
    (Click here to add a comment)
  1. My workplace is well maintained and safe
    (Click here to add a comment)
If [Participant Name] were to make improvements in Resources, 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: