Performance Appraisal/Management - Employee Opinion Survey Sample #1





Questionnaires Measuring Performance Appraisal:
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 Opinion Survey. We recognize that our employees are our biggest asset and we are committed to continuing to ensure that the [Company] is considered a great place to work. We would like to hear from you as your opinions will help to guide our objectives.

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.

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



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.





Performance Appraisal/Management

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. The Performance Appraisal system has specific standards
  1. I am clear about what is expected of me in my position as a result of the Performance Process
  1. Expectations are clearly communicated to me
  1. Pay raises are linked to performance evaluations
  1. The Performance Management process is effective.
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?

Job Satisfaction

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. I feel satisfied at the Company
  1. I receive a lot of satisfaction from my job
  1. My job is rewarding
  1. The people in my department feel good about coming to work
  1. I enjoy working at the Company
If [Participant Name] were to make improvements in Job Satisfaction, 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
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  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. 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. In my job I focus on problem solving instead of fault finding
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?

Planning

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. My manager establishes a course of action for self and others to accomplish specific goals
  1. I feel the President has developed an effective strategic plan
  1. My manager is effective at planning for transitions in equipment or facilities
  1. My manager assigns the right tasks to the right people and holds them accountable
  1. I can accomplish major tasks by breaking them into manageable pieces
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?

Flexibility

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. Our department delivers a variety of products that vary in type and volume.
  1. My manager is willing to change ideas or perceptions based on new information.
  1. The supervisor has the ability to pivot strategies, operations, or processes in real-time to meet new challenges or seize new opportunities.
  1. Senior leadership continually evaluates the direction and speed of the organization and makes appropriate mid-course adjustments
  1. Supervisors integrate new ideas and information into solutions and processes.
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?

Initiative

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. Leadership at the Company encourages initiative and risk taking
  1. The Company seeks to take advantage of opportunities
  1. My supervisor encourages initiative.
  1. Senior Management at Company encourages initiative.
  1. I am allowed to take initiative to assess my skills and seek appropriate training
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?

Resources

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. I understand the budget process
  1. I have all the tools and equipment I need to do my job well
  1. I understand the process of allocating fiscal resources
  1. My Supervisor is effective in maximizing the potential of others
  1. The Company has the right people in the right places.
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?

Teamwork

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. Our team fosters open communication
  1. The manager communicates a clear message that teamwork and collaboration are expected
  1. Our team fosters an environment that promotes active listening
  1. Team members treat each other with respect
  1. Our team creates an atmosphere that encourages team participation
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
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. The IT Department knows how to repair the equipment in our department.
  1. IT staff are knowledgeable about the software and equipment we use.
  1. The IT Department is quick to respond to my issues.
  1. Information Technology responds to my questions and inquiries in a timely manner.
  1. The IT Department keeps us informed of major changes to the software applications being used.
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
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. I would be willing to move to a different location if needed.
  1. Unnecessary and duplicated job roles were eliminated by the recent reorganization.
  1. The reorganization significantly altered how I do my job
  1. The reorganization was effective
  1. The Company is effective in reorganizing to meet new business challenges and opportunities
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?




  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: