Problem Solving - Employee Engagement Survey Sample #3





Questionnaires Measuring Problem Solving:
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:
Problem Solving, Feedback/Guidance, Performance Appraisal/Management, Safety, Adaptability, Vision, Employee Assistance Program, Wellness Program
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






Problem Solving

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. My team works to simplify problems to make them more manageable
  1. We resolve issues in our organization without resorting to blame, anger, or retribution.
  1. My Department anticipates and resolves problems
  1. In my job I focus on problem solving instead of fault finding
  1. Employees seek to acquire new information and knowledge before deciding on a course of action when problem solving


Feedback/Guidance

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


Performance Appraisal/Management

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  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
  1. Expectations are clearly communicated to me
  1. The Performance Management process is effective.
  1. The Performance Appraisal system has specific standards


Safety

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. My manager does not compromise on safety
  1. Safety is a primary concern at the Company
  1. I know what to do in an emergency situation
  1. The safety and health conditions where I work are good
  1. Managers pay attention to workplace safety


Adaptability

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. The Company is willing to accept change
  1. I learn new skills to become more valuable for the organization
  1. Employees in my department are open to changes in policies and procedures
  1. Department chairs adapt to new work processes and procedures
  1. I am proactive and take steps to prepare for changes in the workplace


Vision

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. I know how to establish an inspiring and strategic vision for the department
  1. The CEO communicates a vision of where the Company needs to be in the future
  1. The department lead supports a culture of the department that is willing to implement the company's vision
  1. My manager develops action plans that successfully align our work with the goals of the organization
  1. My manager inspires and motivates employees through an influential vision


Employee Assistance Program

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. The EAP used by the Company helps improve job performance.
  1. Representatives from the EAP provide followup/referral services.
  1. The EAP practitioners are professional, experienced, dedicated to their work.
  1. The Employee Assistance Program meets my needs.
  1. The process of utilizing the Employee Assistance Program is easy to use.


Wellness Program

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. The Company wellness program is personal and confidential
  1. I would encourage others to use the wellness program
  1. The Company wellness program focuses on preventive care, quality of life, and employee satisfaction
  1. I feel confident in using the wellness program
  1. The wellness program provides a wide array of services to meet my needs





  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: