hr-survey.com

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
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Safety

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. My manager does not compromise on safety
  1. Managers pay attention to workplace safety
  1. Safety is a primary concern at the Company
  1. Managers regularly meet with employees to discuss safety issues
  1. My Supervisor would not ask me to perform an unsafe procedure


Quality

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. Continuous learning and improvement helps the Company respond to Change and achieve success
  1. My quality work instructions provide meaningful guidance on how to accurately perform my job duties.
  1. Management places importance on quality work.
  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.


Change

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  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. My Department is able to adjust rapidly to a new way of operating
  1. My Supervisor motivates others to follow new processes
  1. Managers are effective in addressing resistance to change


Problem Solving

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. Our department involves team members in discussions and planning to gain their endorsement before rolling out a new solution.
  1. The team leader gathers input from various team members helps to ensure that the problem is fully understood from all angles, reducing the risk of oversight.
  1. My manager develops and implements clear guidelines and protocols for handling tasks.
  1. Our department generates a wide range of possible solutions.
  1. The team leader clearly articulates expected outcomes and the current situation to foster a shared understanding of the problem among team members.


Respect for Others

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


Teamwork

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. My department encourages collaboration with other departments
  1. Team members share pertinent information with all members of the team
  1. People in this organization work well across departments.
  1. Team members listen to each other without interrupting
  1. The team leader expresses appreciation for the work of other team members


Staffing

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. My Supervisor is good at determining staffing needs
  1. The Company has a good supply of emerging leaders
  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.


Stress

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. My work environment is pleasant and calm
  1. I have a relaxed and positive outlook
  1. I can change how I work if I want to
  1. I participate in decisions that affect me
  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: