Performance Appraisal/Management - Pulse Survey - Sample #7

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

Performance Appraisal/Management	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
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)
My Supervisor is honest and fair in my performance review (Click here to add a comment)
The Performance Appraisal system has specific standards (Click here to add a comment)
I trust the feedback I receive from my Supervisor (Click here to add a comment)
Expectations are clearly communicated to me (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?
Career Development	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My manager discusses my career path with me. (Click here to add a comment)
Employees are required to create their own Individual Development Plan. (Click here to add a comment)
My supervisor works with me to develop my Individual Development Plan (Click here to add a comment)
Job promotions are awarded fairly and without bias (Click here to add a comment)
I have been given more responsibilities since when I started (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?
Pride/Loyalty	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I am glad I chose to work at this Company. (Click here to add a comment)
I feel this is a good place to work. (Click here to add a comment)
This is the best place I have ever worked. (Click here to add a comment)
I am glad to be working in my department. (Click here to add a comment)
I feel like I am able to help my department. (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?
Supervisor	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My Supervisor establishes responsibility and accountability in their subordinates (Click here to add a comment)
My Supervisor is open to suggestions (Click here to add a comment)
My Supervisor has high technical skills (Click here to add a comment)
My Supervisor has helped in my career development (Click here to add a comment)
My Supervisor effectively resolves employee problems and labor issues (Click here to add a comment)
If [Participant Name] were to make improvements in Supervisor, 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?
Human Resources	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Human Resources treats all employees with courtesy and respect. (Click here to add a comment)
The HR department has communicated benefit updates and changes regularly and clearly. (Click here to add a comment)
Human Resources cooperates and works together with all departments to effectively achieve the Company's objectives. (Click here to add a comment)
The Human Resources staff is accessible and responsive when I need assistance. (Click here to add a comment)
Information from Human Resources is informative, relevant/timely and consistent. (Click here to add a comment)
If [Participant Name] were to make improvements in Human 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?
Turnover	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Opportunities for advancement at CompanyName help reduce turnover. (Click here to add a comment)
I plan to be working at the Company forever (Click here to add a comment)
The benefits package provided by CompanyName helps reduce turnover. (Click here to add a comment)
The level of pay offered by the Company helps to reduce turnover (Click here to add a comment)
Management 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 Relations	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Managers follow the grievance procedures (Click here to add a comment)
Managers entrust employees with important responsibilities (Click here to add a comment)
Employees receive the training they need to perform well on the job (Click here to add a comment)
My Supervisor regularly asks how I am doing and if there is anything they can do to help (Click here to add a comment)
Employees have autonomy to make decisions and take actions as needed (Click here to add a comment)
If [Participant Name] were to make improvements in Employee Relations, 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?
Facilities	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
The Facilities department is responsive when I make requests to fixing equipment and/or office space (Click here to add a comment)
The Company offers excellent parking facilities (Click here to add a comment)
I am aware of the procedures I need to take to evacuate the building in case of a fire or natural disaster (Click here to add a comment)
The building I work in is well maintained (Click here to add a comment)
The Facilities department responses to my requests (Click here to add a comment)
If [Participant Name] were to make improvements in Facilities, 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?

41. 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)

    
    
    
42. 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

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

    Every other month Quarterly Twice a year Just the Christmas Party

    
    
    
44. How would you rate your satisfaction with the communication between you and [Company]?
    

    Very Dissatisfied Dissatisfied No Opinion Satisfied Very Satisfied

    
    
    
45. What would you change about your current job or position?
    
    
    
46. Please identify factors that would improve your job performance in the coming year.
    
    
    
47. 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

    
    
    
48. How would you rate your overall satisfaction with the company in the past year?
    

    Very Dissatisfied Dissatisfied No Opinion Satisfied Very Satisfied

    
    
49. Please give any comments or suggestions on how the company can be improved in the coming year: