Safety - Pulse Survey - Sample #6





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.

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.

Dimensions include:
Safety, Quality, Change, Problem Solving, Respect for Others, Teamwork, Staffing, Stress
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
No
Opinion
Disagree
Strongly
Disagree
  1. Safety is a primary concern at the Company
  1. Managers regularly meet with employees to discuss safety issues
  1. My work environment is safe
  1. Managers pay attention to workplace safety
  1. The safety and health conditions where I work are good


Quality

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  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. My quality work instructions provide meaningful guidance on how to accurately perform my job duties.
  1. The people in my team are committed to doing quality work


Change

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. Managers are effective in addressing resistance to change
  1. The Leadership keeps a focus on where the Company needs to go
  1. The Company is pro-active in implementing changes to address challenges and opportunities
  1. My Supervisor motivates others to follow new processes
  1. Management is able to implement a vision and mission


Problem Solving

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. We work together to solve problems
  1. We resolve issues in our organization without resorting to blame, anger, or retribution.
  1. Employees seek to acquire new information and knowledge before deciding on a course of action when problem solving
  1. My Department anticipates and resolves problems
  1. Leaders identify problems, collect information from various sources, and synthesize that information into effective solutions


Respect for Others

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. Disrespectful behavior is not tolerated.
  1. Co-workers respect each others' opinions
  1. I feel I am valued at work.
  1. Co-workers treat each other with respect
  1. I feel respected by management in this organization.


Teamwork

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. Team members willingly share their technical expertise
  1. We can handle changes made by the team without complaining
  1. Our team creates a culture that fosters and values collaboration
  1. Our team encourages collaboration of fellow employees to achieve results
  1. Our team creates an atmosphere that encourages team participation


Staffing

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. My Department has an adequate level of staffing
  1. My Supervisor is good at building a staff of creative and innovative individuals
  1. The Company has a good supply of emerging leaders
  1. CompanyName has the right people in the right places.
  1. The Company has an excellent workforce planning strategy to meet future needs


Stress

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. I can change how I work if I want to
  1. I participate in decisions that affect me
  1. I feel safe in my job
  1. I rarely experience stress here
  1. My work schedule is flexible enough to meet my needs



General Open Ended Questions


  1. What are the top three challenges you face in your job?
    1.
    2.
    3.


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

    If not, please explain:


  3. Are there any changes to an existing workflow, process or procedure you believe could improve your ability to perform your job more effectively or efficiently?

    If so, please describe:


  4. In your opinion, what are positive aspects of [Company]?



  5. What is the most important thing you would like to see [Company] do to improve as a place to work?



  6. On a scale of Excellent to Poor, how would you rate your overall employment experience
    with [Company] and why?






  7. Please enter any final comments you would like to share.

Demographics

Questions below are optional, however, providing this information
will help us make accurate conclusions for specific work groups.
None of this information will be used to identify individual respondents.
  1. Your department:








  2. Years of Service:





  3. Your location:




  4. Your shift: