Planning - Employee Survey Sample #7

Questionnaires Measuring Planning:
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

Dimensions Included:
Planning, Communication, Feedback/Guidance, Job Satisfaction, Flexibility, Training, Leadership, Company, Resources, Wellness Program

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.

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)

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

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

Every other month
Quarterly
Twice a year
Just the Christmas Party
How would you rate your satisfaction with the communication between you and [Company]?

Very Dissatisfied
Dissatisfied
No Opinion
Satisfied
Very Satisfied
What would you change about your current job or position?
Please identify factors that would improve your job performance in the coming year.
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
How would you rate your overall satisfaction with the company in the past year?

Very Dissatisfied
Dissatisfied
No Opinion
Satisfied
Very Satisfied
Please give any comments or suggestions on how the company can be improved in the coming year:

Planning	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Our department plans for how to allocate time to specific activities (Click here to add a comment)
My supervisor efficiently manages deadlines (Click here to add a comment)
I am able to keep goals on track (Click here to add a comment)
My manager develops a detailed plan outlining tasks, resources, timelines, and deliverables (Click here to add a comment)
I know what resources are needed to accomplish goals (Click here to add a comment)
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?

Communication	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I regularly read the Company newsletter and other publications (Click here to add a comment)
The team leader listens attentively and without interrupting to team members and customers (Click here to add a comment)
I feel that I am able to deliver effective presentations (Click here to add a comment)
The supervisor verifies understanding throughout discussions (Click here to add a comment)
I feel that I am persuasive and articulate when communicating (Click here to add a comment)
If [Participant Name] were to make improvements in Communication, 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?

Feedback/Guidance	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I actively seek feedback from colleagues and customers about my work. (Click here to add a comment)
I am given clear instructions and objectives. (Click here to add a comment)
I do not feel micro-managed. (Click here to add a comment)
I see my role to include mentoring and coaching others. (Click here to add a comment)
I receive mentoring and coaching from my superior. (Click here to add a comment)
If [Participant Name] were to make improvements in Feedback/Guidance, 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	Not Applicable
I am proud to tell others I work for the Company (Click here to add a comment)
I enjoy working at the Company (Click here to add a comment)
Considering everything, I am satisfied at this Company (Click here to add a comment)
My job is rewarding (Click here to add a comment)
I feel satisfied at the Company (Click here to add a comment)
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?

Flexibility	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My manager is willing to implement new procedures for the department. (Click here to add a comment)
My coworkers are capable of adjusting to necessary modifications in the work environment. (Click here to add a comment)
The supervisor is agile and versatile when responding to critical issues. (Click here to add a comment)
The supervisor is willing to change ideas or perceptions based on new information or contrary evidence which is presented. (Click here to add a comment)
I am able to perform new tasks and assignments. (Click here to add a comment)
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?

Training	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
The Company employs competent and skilled trainers (Click here to add a comment)
I have received good training to do my job (Click here to add a comment)
I am allowed to take initiative to assess my skills and seek appropriate training (Click here to add a comment)
The on-the-job training I received has prepared me for this job (Click here to add a comment)
The Company supports efforts by employees to obtain training on new skills (Click here to add a comment)
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?

Leadership	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Leaders are open to feedback from multiple perspectives (Click here to add a comment)
I feel confident in the Company leadership (Click here to add a comment)
Leaders identify problems, collect information from various sources, and synthesize that information into effective solutions (Click here to add a comment)
The Leadership promotes team morale and builds organizational commitment (Click here to add a comment)
The Leadership helps maximize business results (Click here to add a comment)
If [Participant Name] were to make improvements in Leadership, 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?

Company	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I am motivated to see the company succeed. (Click here to add a comment)
CompanyName is making changes necessary to stay competitive. (Click here to add a comment)
This company is innovative in developing new ways to serve our customers. (Click here to add a comment)
This company is committed to providing competitive products and services. (Click here to add a comment)
Morale at CompanyName is high. (Click here to add a comment)
If [Participant Name] were to make improvements in Company, 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	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I can manage information and technical resources to achieve objectives (Click here to add a comment)
The Company has the right people in the right places. (Click here to add a comment)
I have all the tools and equipment I need to do my job well (Click here to add a comment)
I understand the process of allocating fiscal resources (Click here to add a comment)
I understand the budget process (Click here to add a comment)
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?

Wellness Program	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
The Company wellness program is easy to use (Click here to add a comment)
I feel confident in using the wellness program (Click here to add a comment)
The Company is committed to a healthy workforce (Click here to add a comment)
The Company wellness program focuses on preventive care, quality of life, and employee satisfaction (Click here to add a comment)
I feel the wellness program is an excellent support resource for employees (Click here to add a comment)
If [Participant Name] were to make improvements in Wellness Program, 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?