Performance - Employee Survey Sample #8





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; 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.

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

Strongly
Disagree
Disagree Neutral Agree Strongly
Agree
  1. My Department is able to meet its deadlines
  1. I am held accountable for achieving specific results
  1. I get a sense of personal accomplishment from my work
  1. My annual review is effective in identifying specific goals for performance improvement.
  1. The Company is able to maximize employee potential
If [Participant Name] were to make improvements in Performance, 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
Disagree Neutral Agree Strongly
Agree
  1. My team works to simplify problems to make them more manageable
  1. In my job I focus on problem solving instead of fault finding
  1. Leaders identify problems, collect information from various sources, and synthesize that information into effective solutions
  1. We resolve issues in our organization without resorting to blame, anger, or retribution.
  1. Employees seek to acquire new information and knowledge before deciding on a course of action when problem solving
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?

Job Satisfaction

Strongly
Disagree
Disagree Neutral Agree Strongly
Agree
  1. My job is rewarding
  1. I enjoy working at the Company
  1. I receive a lot of satisfaction from my job
  1. I am proud to tell others I work for the Company
  1. I feel satisfied 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?

Management

Strongly
Disagree
Disagree Neutral Agree Strongly
Agree
  1. Managers follow the grievance procedures
  1. Managers are held accountable for achieving results
  1. The managers involve us in decisions affecting our work
  1. Managers are effective in putting the right people in the right places
  1. I have enough resources and support to adequately manage my department.
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?

Quality

Strongly
Disagree
Disagree Neutral Agree Strongly
Agree
  1. Managers try to prevent production problems before they occur
  1. Management supports and encourages finding ways to improve the quality of work products.
  1. Methods are in place to identify production problems
  1. Continuous learning and improvement helps the Company respond to Change and achieve success
  1. The Company's image is that of a high quality Employer.
If [Participant Name] were to make improvements in Quality, 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?

Resourcefulness

Strongly
Disagree
Disagree Neutral Agree Strongly
Agree
  1. My coworkers are good at finding ways to get things done
  1. I know who to contact when I need help getting something done
  1. I know where to go for help when I need it
  1. My department offers rewards for finding better ways of doing things
  1. The company offers rewards for innovative thinking
If [Participant Name] were to make improvements in Resourcefulness, 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?

Training

Strongly
Disagree
Disagree Neutral Agree Strongly
Agree
  1. Training is offered at times convenient to me
  1. I am allowed to take initiative to assess my skills and seek appropriate training
  1. The training I receive is relevant to my job
  1. I have received good training to do my job
  1. The Company employs competent and skilled trainers
If [Participant Name] were to make improvements in Training, 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
  1. Managers follow the hiring procedures
  1. The Company has a good pool of applicants to choose from
  1. The hiring process is fair and unbiased
  1. The Company is successful in recruiting to fill both long-term and short-term positions
  1. Hiring procedures are clearly defined
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?

Employee Relations

Strongly
Disagree
Disagree Neutral Agree Strongly
Agree
  1. I am comfortable going to Human Resources when I have about a problem or issue
  1. In this company, administrators appreciate the work of their staff
  1. Labor and Management meet regularly to discuss important issues
  1. Managers work to obtain win-win resolutions
  1. Managers follow the grievance procedures
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?

Respect for Others

Strongly
Disagree
Disagree Neutral Agree Strongly
Agree
  1. Co-workers treat each other with respect
  1. At this company, my suggestions are given serious consideration.
  1. I feel respected by management in this organization.
  1. I am treated with respect by others with whom I work.
  1. I feel I am valued at work.
If [Participant Name] were to make improvements in Respect for Others, 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: