Safety - Employee Engagement Survey Sample #3





Surveys Measuring Safety:
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:
Safety, Communication, Feedback/Guidance, Systems, Initiative, Commitment, Pride/Loyalty, Department, Turnover, Diversity
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






Safety

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. The safety and health conditions where I work are good
  1. I know what to do in an emergency situation
  1. My work environment is safe
  1. My manager does not compromise on safety
  1. Managers regularly meet with employees to discuss safety issues


Communication

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. My manager courageously takes on challenging questions and provides instant answers
  1. My manager conveys priorities with right sense of urgency and importance
  1. My manager inspires others to take action based on his/her communications
  1. I am comfortable communicating with department leadership
  1. I am comfortable clarifying problems logically, simplifying complex matters into digestible parts


Feedback/Guidance

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  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 do not feel micro-managed.
  1. I actively seek feedback from colleagues and customers about my work.


Systems

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. Managers are skilled and trained in the various systems to help employees when needed
  1. The Company uses a systematic process for identifying employee development needs and implementing solutions
  1. Continuity of leadership is achieved through effective succession planning
  1. The Company has an excellent employee hiring and selection system
  1. The Quality Management system in place helps us achieve compliance with ISO 9001 and other models for quality systems


Initiative

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. I feel encouraged to come up with new and better ways of doing things
  1. Senior Management at Company encourages initiative.
  1. The Company seeks to take advantage of opportunities
  1. My Supervisor capitalizes on opportunities to grow the business
  1. Leadership at the Company encourages initiative and risk taking


Commitment

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. My co-workers are committed to the success of the Company
  1. There is a sense of pride in working for the Company
  1. I am fully committed to a long-term career with CompanyName.
  1. I would recommend the Company as a great place to work
  1. Employees are committed to improving quality of services


Pride/Loyalty

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. I feel like I contribute to the Company.
  1. The Company is a good employer to work for.
  1. I feel this is a good place to work.
  1. I am glad I chose to work at this Company.
  1. This is the best place I have ever worked.


Department

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. My department respects individuals and values their differences.
  1. Employees work well with each other in the department.
  1. Employees in the ____ department treat each other with respect.
  1. My team focuses on fixing the problem rather than finding someone to blame.
  1. Customer service is important to employees in my department.


Turnover

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. My current work environment is hostile
  1. Employees enjoy working at the Company
  1. Employees with poor performance are terminated
  1. There is a lack of opportunities in my department
  1. Some employees in my department were involuntarily terminated


Diversity

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. Company invests time and energy into building diverse, equitable, and inclusive teams.
  1. Employees of all races have an equal opportunity for promotions.
  1. Disabled workers are just as productive as abled workers
  1. Company offers financial support for diversity programs
  1. I rarely hear language/communication at work that I consider offensive or discriminatory.





  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: