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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.

Edit this Survey
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Safety

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
  1. The supervisor provides training on how to properly use personal protective equipment (PPE).
  1. Our department identifies areas that may be impacted by a disaster.
  1. My manager implements safety recommendations from employees.
  1. Managers create accurate and effective measures of safety.
  1. Coworkers are not afraid to question a potential safety issue observed in the workplace.
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. Supervisors maximize return on investment in problem-solving efforts by using resources wisely.
  1. Managers engage employees in the decision-making process to ensure their support before introducing a solution to a major problem.
  1. Leaders identify problems, collect information from various sources, and synthesize that information into effective solutions
  1. Our team generates innovative and practical ideas and approaches.
  1. The senior leadership is able to meet the needs of different constituents in the solution of a problem.
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. The Company's image is that of a high quality Employer.
  1. Management supports and encourages finding ways to improve the quality of work products.
  1. Managers try to prevent production problems before they occur
  1. Management places importance on quality work.
  1. The people in my team are committed to doing 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. The Company is pro-active in implementing changes to address challenges and opportunities
  1. Management is able to implement a vision and mission
  1. The Leadership keeps a focus on where the Company needs to go
  1. My supervisor supports organizational changes.
  1. My Supervisor motivates others to follow new processes
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. I feel respected by management in this organization.
  1. Co-workers treat each other with respect
  1. At this company, my suggestions are given serious consideration.
  1. Individual differences are seen as strengths.
  1. Disrespectful behavior is not tolerated.
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. My team makes effective business decisions
  1. The team promotes open participation and communication
  1. The team lead contributes to and supports team decision-making process
  1. My supervisor facilitates team-building within the leadership team
  1. Team members listen to each other without interrupting
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. My Supervisor gives me the freedom to do my job how I see best
  1. I feel safe in my job
  1. I participate in decisions that affect me
  1. I rarely experience stress here
  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. My Department has the right people in the right places
  1. My Department has an adequate level of staffing
  1. CompanyName has the right people in the right places.
  1. The Company has a good supply of emerging leaders
  1. The Company has adequate help during peak work loads
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: