Safety - Employee Opinion Survey Sample #4





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 [Company] Employee Survey. Our objective is to understand and express the values which will ensure [Company] is an exceptional place to work. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

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, Job Security, Problem Solving, Quality, Change, Respect for Others, Teamwork, Stress, Staffing
Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. 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.




Safety

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
  1. Managers regularly meet with employees to discuss safety issues
  1. Safety is a primary concern at the Company
  1. My manager does not compromise on safety
  1. The safety and health conditions where I work are good
  1. Managers pay attention to workplace safety
If [Participant Name] were to make improvements in Safety, 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 Security

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
If [Participant Name] were to make improvements in Job Security, 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. Leaders identify problems, collect information from various sources, and synthesize that information into effective solutions
  1. We work together to solve problems
  1. Employees seek to acquire new information and knowledge before deciding on a course of action when problem solving
  1. In my job I focus on problem solving instead of fault finding
  1. We resolve issues in our organization without resorting to blame, anger, or retribution.
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?

Quality

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
  1. My quality work instructions provide meaningful guidance on how to accurately perform my job duties.
  1. Management supports and encourages finding ways to improve the quality of work products.
  1. The people in my team are committed to doing quality work
  1. Continuous learning and improvement helps the Company respond to Change and achieve success
  1. Management places importance on quality work.
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?

Change

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
  1. My Department is able to adjust rapidly to a new way of operating
  1. The Company is pro-active in implementing changes to address challenges and opportunities
  1. The Leadership involves employees when making significant changes
  1. Managers are effective in addressing resistance to change
  1. Management is able to implement a vision and mission
If [Participant Name] were to make improvements in Change, 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. I feel respected by management in this organization.
  1. I feel I am valued at work.
  1. Disrespectful behavior is not tolerated.
  1. I am treated with respect by others with whom I 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?

Teamwork

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
  1. The team leader facilitates conflict resolution discussions between individuals
  1. My department encourages collaboration with other departments
  1. Teamwork is positively impacting our business results.
  1. My supervisor facilitates effective teamwork during periods of change
  1. Team members demonstrate compassion and respect for others through actions
If [Participant Name] were to make improvements in Teamwork, 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?

Stress

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
  1. I have a relaxed and positive outlook
  1. I participate in decisions that affect me
  1. I can change how I work if I want to
  1. My work environment is pleasant and calm
  1. My work schedule is flexible enough to meet my needs
If [Participant Name] were to make improvements in Stress, 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?

Staffing

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
  1. The Company has a good supply of emerging leaders
  1. My Department has the right people in the right places
  1. The Company has adequate help during peak work loads
  1. The Company has an excellent workforce planning strategy to meet future needs
  1. My Supervisor is good at building a staff of creative and innovative individuals
If [Participant Name] were to make improvements in Staffing, 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. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?






  2. Would you refer others who are seeking employment to [Company]?


    Please provide explanation:

  3. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?

  4. What changes do you see [Company] making in order to raise the standards?

  5. I feel good about my continued employment with [Company].


    If no, please provide explanation:

  6. What do you like best about working for [Company]?

  7. What do you like least about working for [Company]? How could it be improved?

  8. Use the space below to enter any final comments you would like to be noted: