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. My work environment is safe
  1. Safety is a primary concern at the Company
  1. The safety and health conditions where I work are good
  1. Managers regularly meet with employees to discuss safety issues
  1. I know what to do in an emergency situation


Quality

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. Management places importance on quality work.
  1. Methods are in place to identify production problems
  1. The people in my team are committed to doing quality work
  1. The Company's image is that of a high quality Employer.
  1. My quality work instructions provide meaningful guidance on how to accurately perform my job duties.


Change

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. The Leadership keeps a focus on where the Company needs to go
  1. The Leadership involves employees when making significant changes
  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. Managers are effective in addressing resistance to change


Problem Solving

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. My Department anticipates and resolves problems
  1. Leaders identify problems, collect information from various sources, and synthesize that information into effective solutions
  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


Respect for Others

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. Individual differences are seen as strengths.
  1. Co-workers treat each other with respect
  1. I feel I am valued at work.
  1. At this company, my suggestions are given serious consideration.
  1. I am treated with respect by others with whom I work.


Teamwork

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. Team members listen to each other without interrupting
  1. The environment in our team is one that supports open communication between team members
  1. The supervisor works with other team members to identify bottle necks in the production process
  1. The team leader takes the time to actively listen to other team member's perspectives
  1. The department is open to alternative ways to accomplish goals suggested by the re-organization team


Staffing

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. My Department has an adequate level of staffing
  1. The Company has an excellent workforce planning strategy to meet future needs
  1. The Company has a good supply of emerging leaders
  1. The Company has adequate help during peak work loads
  1. CompanyName has the right people in the right places.


Stress

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. My work schedule is flexible enough to meet my needs
  1. I feel safe in my job
  1. My work environment is pleasant and calm
  1. I can change how I work if I want to
  1. I have a relaxed and positive outlook



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: