Leadership - Employee Survey Sample #7

Surveys Measuring Leadership:
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.

Dimensions Included:
Leadership, Equipment, Career Development, Supervision, Corporate Culture, Vision, Turnover, Employee Assistance Program, Rewards/Recognition

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

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 [Company] and the employee contribute on a pre-tax basis to an account used for eligible medical expenses)

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

How often would you like to participate in after hours company event?

Every other month
Quarterly
Twice a year
Just the Christmas Party
How would you rate your satisfaction with the communication between you and [Company]?

Very Dissatisfied
Dissatisfied
No Opinion
Satisfied
Very Satisfied
What would you change about your current job or position?
Please identify factors that would improve your job performance in the coming year.
When your performance was discussed with you in the past,
how often did you receive practical suggestions for improving your work?

Very Often
Sometimes
Rarely
Never
How would you rate your overall satisfaction with the company in the past year?

Very Dissatisfied
Dissatisfied
No Opinion
Satisfied
Very Satisfied
Please give any comments or suggestions on how the company can be improved in the coming year:

Leadership	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I feel confident in the Company leadership (Click here to add a comment)
Leadership at the Company encourages initiative and risk taking (Click here to add a comment)
Leaders are open to feedback from multiple perspectives (Click here to add a comment)
Leaders identify problems, collect information from various sources, and synthesize that information into effective solutions (Click here to add a comment)
The Leadership helps maximize business results (Click here to add a comment)
If [Participant Name] were to make improvements in Leadership, 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?

Equipment	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Our department has the right equipment for the job. (Click here to add a comment)
The Company employs enough equipment operators (Click here to add a comment)
Employees in my department know the proper safety protocols (Click here to add a comment)
All employees in my department conduct pre- and post-trip assessments of the equipment (Click here to add a comment)
I have the parts and supplies needed to regularly maintain the equipment (Click here to add a comment)
If [Participant Name] were to make improvements in Equipment, 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?

Career Development	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I have the skills needed to advance my career. (Click here to add a comment)
My supervisor works with me to develop my Individual Development Plan (Click here to add a comment)
My Supervisor has taken an interest in my career development (Click here to add a comment)
I have been given more responsibilities since when I started (Click here to add a comment)
Job promotions are awarded fairly and without bias (Click here to add a comment)
If [Participant Name] were to make improvements in Career Development, 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?

Supervision	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My supervisor is fair in determining which team members are to be promoted to the next higher level (Click here to add a comment)
Supervisors coach subordinates in how to make good decisions (Click here to add a comment)
Supervisors in our department provide timely and thorough performance evaluations of employees (Click here to add a comment)
Managers are effective in delegating assignments (Click here to add a comment)
Supervisors set clear expectations for acceptable performance (Click here to add a comment)
If [Participant Name] were to make improvements in Supervision, 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?

Corporate Culture	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
The organizational culture enhances employee commitment (Click here to add a comment)
The Company strives hard to provide a good environment for clients and staff. (Click here to add a comment)
The Company new employee orientation includes information about our culture (Click here to add a comment)
I believe that Company's open door policy is effective. (Click here to add a comment)
People enjoy working for the Company (Click here to add a comment)
If [Participant Name] were to make improvements in Corporate Culture, 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?

Vision	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I am able to diagnose issues and problems and to create a vision for their solutions (Click here to add a comment)
Managers encourage employees to embrace the departmental vision (Click here to add a comment)
My manager influences the attitudes and behaviors of subordinates to match the department's vision (Click here to add a comment)
My manager stays ahead of the curve and guides the team towards innovative solutions and strategic decisions (Click here to add a comment)
Our department creates a positive vision of the future (Click here to add a comment)
If [Participant Name] were to make improvements in Vision, 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?

Turnover	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
There is a lack of opportunities in my department (Click here to add a comment)
I have reached the maximum position within my career (Click here to add a comment)
The level of benefits offered by the Company helps to reduce turnover (Click here to add a comment)
Management helps reduce turnover. (Click here to add a comment)
The benefits package provided by CompanyName helps reduce turnover. (Click here to add a comment)
If [Participant Name] were to make improvements in Turnover, 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?

Employee Assistance Program	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Employees are aware of the services offered by the EAP. (Click here to add a comment)
Employees are aware of the EAP. (Click here to add a comment)
I have good options for care/treatment when utilizing the Employee Assistance Program. (Click here to add a comment)
Representatives from the EAP provide followup/referral services. (Click here to add a comment)
Educational seminars and workshops provided through the EAP are benefitial to me. (Click here to add a comment)
If [Participant Name] were to make improvements in Employee Assistance Program, 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?

Rewards/Recognition	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I understand the Company reward philosophy and processes (Click here to add a comment)
I am made to feel that I am an important part of the Company (Click here to add a comment)
I am recognized whenever I do a good job (Click here to add a comment)
The rewards and recognition I receive are attractive and competitive (Click here to add a comment)
My Supervisor praises me for a job well done (Click here to add a comment)
If [Participant Name] were to make improvements in Rewards/Recognition, 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?