Innovation - Employee Survey Sample #8

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


Agree Unsure Disagree N/A
  1. My Supervisor supports me in developing new products
  1. The Company supports innovative processes developed by employees
  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.


Agree Unsure Disagree N/A
  1. Performance measures are evaluated on a quarterly basis
  1. I am held accountable for achieving specific results
  1. The Company is able to maximize employee potential
  1. My annual review is effective in identifying specific goals for performance improvement.
  1. I get a sense of personal accomplishment from my work

Decision Making

Agree Unsure Disagree N/A
  1. My supervisor seeks my opinions before making decisions that impact the team/department
  1. Co-workers learn from their bad decisions and rarely repeat them
  1. Senior Management discusses issues and ideas with employees before making major changes
  1. I am involved in important decisions that affect me
  1. As a team, we make decisions together

Problem Solving

Agree Unsure Disagree N/A
  1. In my job I focus on problem solving instead of fault finding
  1. My Department anticipates and resolves problems
  1. My team works to simplify problems to make them more manageable
  1. Leaders identify problems, collect information from various sources, and synthesize that information into effective solutions
  1. Employees seek to acquire new information and knowledge before deciding on a course of action when problem solving

Customer Service

Agree Unsure Disagree N/A
  1. Service is responsive and meets the needs of customers
  1. My Department is committed to customer service
  1. Managers are focused on improving customer service
  1. My supervisor is focused on improving customer service.
  1. I understand the relationship between my service to internal/external customers and Company's success.


Agree Unsure Disagree N/A
  1. My Manager always acts with professionalism
  1. Employees pay attention to the speaker in meetings
  1. Employees maintain an appropriate appearance
  1. Employees do not leave work early
  1. Employees in my department take their work seriously


Agree Unsure Disagree N/A
  1. I have the same opportunity to succeed as others with similar education and experience.
  1. I rarely hear language/communication at work that I consider offensive or discriminatory.
  1. My department respects individuals and values their differences
  1. Company offers financial support for diversity programs
  1. Disabled workers are just as productive as abled workers


Agree Unsure Disagree N/A
  1. I receive feedback quickly if my performance is below expectations
  1. I have a good relationship with my supervisor.
  1. My Supervisor communicates the actions necessary for me to take to achieve organizational objectives
  1. I receive adequate supervision
  1. I am given clear instructions and objectives.


Agree Unsure Disagree N/A
  1. I can take time off to handle personal commitments.
  1. I have input into my work schedule.
  1. The Company offers me the flexibility I want in allowing me to work at home or change my hours, when required
  1. I am able to balance work and my personal life.
  1. The Company helps employees find an ideal balance between work and life responsibilities

Corporate Culture

Agree Unsure Disagree N/A
  1. The Company strives hard to provide a good environment for clients and staff.
  1. The culture helps employees work together
  1. CompanyName has an image of a high quality company.
  1. The Company is a good community neighbor
  1. The Company new employee orientation includes information about our culture

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: