Performance - Employee Opinion Survey Sample #3

Questionnaires Measuring Performance:
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)
Dear Employee:

Welcome to the Employee Satisfaction 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 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 and . 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


Agree Disagree Strongly
  1. Performance measures are evaluated on a quarterly basis
  1. The Company is able to maximize employee potential
  1. I am held accountable for achieving specific results
  1. My job enables me to make use of my skills and abilities
  1. I get a sense of personal accomplishment from my work

Problem Solving

Agree Disagree Strongly
  1. Employees seek to acquire new information and knowledge before deciding on a course of action when problem solving
  1. We resolve issues in our organization without resorting to blame, anger, or retribution.
  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


Agree Disagree Strongly
  1. I am given clear instructions and objectives.
  1. I receive adequate feedback and guidance.
  1. I see my role to include mentoring and coaching others.
  1. I receive mentoring and coaching from my superior.
  1. I do not feel micro-managed.


Agree Disagree Strongly
  1. Management places importance on quality work.
  1. Methods are in place to identify production problems
  1. The Company's image is that of a high quality Employer.
  1. Managers try to prevent production problems before they occur
  1. Management supports and encourages finding ways to improve the quality of work products.


Agree Disagree Strongly
  1. I can step in for co-workers when needed
  1. My Department is able to adapt to new environments and market factors
  1. Management is able to adjust rapidly to new situations
  1. My Department is open to doing things a new way
  1. I am continuously learning and trying to improve myself

Career Development

Agree Disagree Strongly
  1. I have been given more responsibilities since when I started
  1. There is opportunity for me to advance at the Company
  1. Job promotions are awarded fairly and without bias
  1. Employees are required to create their own Individual Development Plan.
  1. My manager discusses my career path with me.


Agree Disagree Strongly
  1. My Supervisor motivates others to follow new processes
  1. My Supervisor has high technical skills
  1. My Supervisor establishes responsibility and accountability in their subordinates
  1. My supervisor is approachable and easy to talk with
  1. My Supervisor is open to suggestions


Agree Disagree Strongly
  1. The work policies are well developed and organized.
  1. This company is committed to providing competitive products and services.
  1. CompanyName is an ethical company.
  1. This company is innovative in developing new ways to serve our customers.
  1. Our standards for business ethics are high.


Agree Disagree Strongly
  1. The premiums for benefits are reasonable
  1. The Company offers better benefits than other companies
  1. The benefits program meets my needs.
  1. The Company offers a comprehensive benefits package
  1. The Company offers benefits that exceed industry standards


Agree Disagree Strongly
  1. The pay offered by the Company is very competitive
  1. My Supervisor is always trying to make sure I am fairly compensated
  1. I have a clear understanding of the Company pay policy
  1. My pay matches my job performance
  1. I am paid fairly

  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,
    and then 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 ?

  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: