Management - Employee Survey Sample #7

Questionnaires Measuring Management:
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:
Management, Performance Appraisal/Management, Safety, Adaptability, Initiative, Pride/Loyalty, Department, Information Technology/IT, Hiring, Equality

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:

Management	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My Manager sets a good example (Click here to add a comment)
I have enough resources and support to adequately manage my department. (Click here to add a comment)
I am supported in my growth and development as a manager. (Click here to add a comment)
The managers involve us in decisions affecting our work (Click here to add a comment)
Managers are held accountable for achieving results (Click here to add a comment)
If [Participant Name] were to make improvements in Management, 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 Appraisal/Management	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My Supervisor is honest and fair in my performance review (Click here to add a comment)
I trust the feedback I receive from my Supervisor (Click here to add a comment)
I am clear about what is expected of me in my position as a result of the Performance Process (Click here to add a comment)
Expectations are clearly communicated to me (Click here to add a comment)
The Performance Appraisal system has specific standards (Click here to add a comment)
If [Participant Name] were to make improvements in Performance Appraisal/Management, 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?

Safety	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Safety is a primary concern at the Company (Click here to add a comment)
My Supervisor would not ask me to perform an unsafe procedure (Click here to add a comment)
My manager does not compromise on safety (Click here to add a comment)
The safety and health conditions where I work are good (Click here to add a comment)
I know what to do in an emergency situation (Click here to add a comment)
If [Participant Name] were to make improvements in Safety, 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?

Adaptability	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I am proactive and take steps to prepare for changes in the workplace (Click here to add a comment)
Co-workers are open to implementing new ideas and innovations (Click here to add a comment)
I am easily able to work in uncertain environments (Click here to add a comment)
I learn new skills to become more valuable for the organization (Click here to add a comment)
My team handles change easily (Click here to add a comment)
If [Participant Name] were to make improvements in Adaptability, 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?

Initiative	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I feel encouraged to come up with new and better ways of doing things (Click here to add a comment)
The Company seeks to take advantage of opportunities (Click here to add a comment)
Leadership at the Company encourages initiative and risk taking (Click here to add a comment)
Senior Management at Company encourages initiative. (Click here to add a comment)
I am allowed to take initiative to assess my skills and seek appropriate training (Click here to add a comment)
If [Participant Name] were to make improvements in Initiative, 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?

Pride/Loyalty	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I feel like I am able to help my department. (Click here to add a comment)
I feel like I contribute to the Company. (Click here to add a comment)
This organization actively contributes to the community. (Click here to add a comment)
I feel this is a good place to work. (Click here to add a comment)
The Company is a good employer to work for. (Click here to add a comment)
If [Participant Name] were to make improvements in Pride/Loyalty, 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?

Department	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Customer service is important to employees in my department. (Click here to add a comment)
Employees communicate freely within our department. (Click here to add a comment)
Employees in the department are aware of the goals that need to be achieved. (Click here to add a comment)
Employees in my department treat me with respect and dignity. (Click here to add a comment)
Employees in my department work together to solve problems. (Click here to add a comment)
If [Participant Name] were to make improvements in Department, 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
The IT Department is effective in maintaining the equipment in my department. (Click here to add a comment)
The IT Department is quick to respond to my issues. (Click here to add a comment)
There is adequate communication between Information Technology and our department. (Click here to add a comment)
The IT Department maintains good documentation on any changes or issues. (Click here to add a comment)
IT Staff are good at troubleshooting issues to get to the root cause of the problem. (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?

Hiring	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
The Company has a good pool of applicants to choose from (Click here to add a comment)
The hiring process is efficient and easy to follow (Click here to add a comment)
The hiring procedures consistently hire excellent candidates (Click here to add a comment)
The Company employs highly professional people (Click here to add a comment)
Managers follow the hiring procedures (Click here to add a comment)
If [Participant Name] were to make improvements in Hiring, 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?

Equality	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My supervisor recognizes the benefits of diversity in the workplace (Click here to add a comment)
Employees have equal treatment when performance issues are addressed (Click here to add a comment)
Employees have equal resources available to them to perform their jobs (Click here to add a comment)
The Company is supportive of our efforts to reduce workplace intimidation and harassment (Click here to add a comment)
Employees are treated with respect regardless of their positions/jobs. (Click here to add a comment)
If [Participant Name] were to make improvements in Equality, 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?