Respect for Others - Employee Opinion Survey Sample #3

Surveys Measuring Respect for Others:
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

Respect for Others

Agree Disagree Strongly
  1. Co-workers treat each other with respect
  1. Disrespectful behavior is not tolerated.
  1. Co-workers respect each others' opinions
  1. Individual differences are seen as strengths.
  1. I feel respected by management in this organization.


Agree Disagree Strongly
  1. I can speak freely to my supervisor on a variety of topics
  1. Information and knowledge are freely shared at the Company
  1. Managers communicate a clear sense of direction for my organization.
  1. Decisions are clear and are communicated effectively organization-wide.
  1. I know what is expected of me at work


Agree Disagree Strongly
  1. Assessment is part of the planning process to identify organizational weaknesses and develop solutions
  1. Leadership gathers data from a variety of sources for use in strategic planning
  1. The Company has long-term goals aligned with its strategic vision
  1. Resources are coordinated and utilized effectively in my department.
  1. Leadership assesses the Company human resources to promote and improve employee development opportunities


Agree Disagree Strongly
  1. I can step in for co-workers when needed
  1. The Company is willing to accept change
  1. Management is able to adjust rapidly to new situations
  1. My Department is open to doing things a new way
  1. My Department is able to adapt to new environments and market factors


Agree Disagree Strongly
  1. The Leadership keeps a focus on where the Company needs to go
  1. My supervisor supports organizational changes.
  1. The Leadership involves employees when making significant changes
  1. My Supervisor motivates others to follow new processes
  1. My Department is able to adjust rapidly to a new way of operating


Agree Disagree Strongly
  1. I am fully committed to a long-term career with CompanyName.
  1. Employees in my department enjoy working together
  1. Employees in my department are committed to the Company and want to remain here
  1. My co-workers are committed to the success of the Company
  1. I would recommend working at the Company to my friends


Agree Disagree Strongly
  1. I trust the feedback I receive from My Supervisor
  1. I receive adequate supervision
  1. I am treated fairly by My Supervisor.
  1. I am given clear instructions and objectives.
  1. I do not feel micro-managed.


Agree Disagree Strongly
  1. After the reorganization I feel more confident in the decisions being made by management.
  1. The reorganization has streamlined our business processes.
  1. I have received frequent and clear communication during this process.
  1. I still have questions regarding the recent reorganization.
  1. The reorganization was implemented smoothly

Wellness Program

Agree Disagree Strongly
  1. The wellness program is convenient for me
  1. The Company wellness program is easy to use
  1. The wellness program provides a wide array of services to meet my needs
  1. I feel confident in using the wellness program
  1. I feel the wellness program is an excellent support resource for employees

  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: