Performance Appraisal/Management - Employee Engagement Survey Sample #3





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 Engagement 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.

Dimensions Included:
Performance Appraisal/Management, Career Development, Pride/Loyalty, Supervisor, Work/Life, Turnover, Facilities, Employee Relations,
This survey will take approximately 15-20 minutes to complete. We valued your feedback last year and once again, we encourage you to be honest and constructive in your responses. Should you need to leave your survey before it is complete, you can access it again simply by clicking on the link provided in the introductory email you received. Please do not forward your survey link to any other email address.

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






Performance Appraisal/Management

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. Pay raises are linked to performance evaluations
  1. The Performance Management process is effective.
  1. Expectations are clearly communicated to me
  1. I am clear about what is expected of me in my position as a result of the Performance Process
  1. My Supervisor is honest and fair in my performance review


Career Development

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. There is opportunity for me to advance at the Company
  1. I have the skills needed to advance my career.
  1. My manager discusses my career path with me.
  1. My supervisor works with me to develop my Individual Development Plan
  1. At work, I have opportunities to learn and grow


Pride/Loyalty

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. I am glad I chose to work at this Company.
  1. This organization actively contributes to the community.
  1. I feel like I contribute to the Company.
  1. I feel like I am able to help my department.
  1. The Company is a good employer to work for.


Supervisor

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. My Supervisor follows the company standard procedures for allocating assignments
  1. My Supervisor is a calming force during stressful periods
  1. My Supervisor is able to manage emotions during difficult times
  1. My Supervisor effectively uses rewards to help motivate employees
  1. My Supervisor facilitates open communication between employees


Work/Life

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. The company is looking out for my best interests as well
  1. I rarely have to work through lunch breaks
  1. I would consider job sharing as a way to balance my work and family life
  1. I do not feel pressured to cancel or reschedule time off
  1. The Company should establish a program to assist employees who have to care for an elderly relative


Turnover

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. Employees with poor performance are terminated
  1. Employees in my department who left did so voluntarily
  1. The level of pay offered by the Company helps to reduce turnover
  1. I would consider a promotion to another position within the company
  1. I have reached the maximum position within my career


Facilities

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. The Facilities department is responsive when I make requests to fixing equipment and/or office space
  1. The Company offers excellent parking facilities
  1. I have easy access to the different offices and meeting rooms
  1. The building I work in is well maintained
  1. The Facilities department responses to my requests


Employee Relations

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. Managers work to obtain win-win resolutions
  1. I am comfortable going to Human Resources when I have about a problem or issue
  1. The processes used for hiring and promotions are fair
  1. Supervisors are willing to delegate responsibilities to employees
  1. Our department has monthly meetings to discuss and address issues in the workplace





  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: