Safety - Employee Survey Sample #7

Dear Employee:


Welcome to the Employee 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.

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. 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

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Safety	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My work environment is safe (Click here to add a comment)
My Supervisor would not ask me to perform an unsafe procedure (Click here to add a comment)
My manager does not compromise on safety (Click here to add a comment)
The safety and health conditions where I work are good (Click here to add a comment)
Managers pay attention to workplace safety (Click here to add a comment)
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?
Equipment	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My Supervisor is aware of the safety procedures needed to operate the equipment (Click here to add a comment)
Employees in my department follow instructions well (Click here to add a comment)
I have all the tools needed to repair equipment and keep it operational (Click here to add a comment)
Our department has the right equipment for the job. (Click here to add a comment)
My Supervisor knows how to use the equipment given to us (Click here to add a comment)
If [Participant Name] were to make improvements in Equipment, 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?
Career Development	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
There is opportunity for me to advance at the Company (Click here to add a comment)
My Supervisor has taken an interest in my career development (Click here to add a comment)
Job promotions are awarded fairly and without bias (Click here to add a comment)
Employees are required to create their own Individual Development Plan. (Click here to add a comment)
At work, I have opportunities to learn and grow (Click here to add a comment)
If [Participant Name] were to make improvements in Career Development, 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?
Supervision	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Managers in our department make sure employees are accomplishing important objectives (Click here to add a comment)
Supervisor here have a high degree of enthusiasm for their work (Click here to add a comment)
I feel supervisors in our department enhance teamwork through good supervision (Click here to add a comment)
Supervisors ask employees for their input in decisions that may directly affect the team (Click here to add a comment)
My supervisor knows the best ways to communicate effectively with different types of employees (Click here to add a comment)
If [Participant Name] were to make improvements in Supervision, 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?
Corporate Culture	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
CompanyName has an image of a high quality company. (Click here to add a comment)
The Company is a good community neighbor (Click here to add a comment)
The culture helps employees work together (Click here to add a comment)
The Company culture promotes employees to stay within the organization. (Click here to add a comment)
I believe that Company's open door policy is effective. (Click here to add a comment)
If [Participant Name] were to make improvements in Corporate Culture, 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?
Vision	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Department leadership inspires employees through a clear vision of the future of our department (Click here to add a comment)
Transforms the department's vision into a clearly defined, actionable set of goals and a comprehensive strategic plan (Click here to add a comment)
The CEO has designed and implemented a forward-looking vision for the company (Click here to add a comment)
The department manager has created and executed a strategic vision that propels the department forward (Click here to add a comment)
My manager articulates a vision for the department that is aligned with the division/company's vision (Click here to add a comment)
If [Participant Name] were to make improvements in Vision, 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?
Turnover	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Employees enjoy working at the Company (Click here to add a comment)
I would describe my department as non-productive (Click here to add a comment)
I plan to be working at the Company forever (Click here to add a comment)
I would consider leaving if I received a better offer from another company (Click here to add a comment)
I sometimes feel overworked or overwhelmed in my job (Click here to add a comment)
If [Participant Name] were to make improvements in Turnover, 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?
Employee Assistance Program	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I feel the EAP provides a good service for the employees. (Click here to add a comment)
I have good options for care/treatment when utilizing the Employee Assistance Program. (Click here to add a comment)
The services offered by the EAP help improve employee performance through reduced absences and tardiness. (Click here to add a comment)
The process of utilizing the Employee Assistance Program is easy to use. (Click here to add a comment)
Educational seminars and workshops provided through the EAP are benefitial to me. (Click here to add a comment)
If [Participant Name] were to make improvements in Employee Assistance Program, 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?
Rewards/Recognition	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Performance incentives are clearly linked to standards and goals (Click here to add a comment)
My supervisor values and appreciates my contributions. (Click here to add a comment)
In this Company people are rewarded according to their job performance (Click here to add a comment)
My rewards package is representative of my job performance (Click here to add a comment)
I am rewarded for exceeding my goals (Click here to add a comment)
If [Participant Name] were to make improvements in Rewards/Recognition, 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?

46. What changes would you like to see in your benefit plans? Please note that some of these may increase premium rates. Please check all that apply.

    Add a higher deductible plan ($1,000 - $2,500) Increase vision care Increase dental care Add wellness program (weight loss, nutrition, smoking cessation programs, etc.) Add a Medical Spending Account (MSA) (allows employees to enroll in a high deductible health plan, and then [Company] and the employee contribute on a pre-tax basis to an account used for eligible medical expenses)

    
    
    
47. What changes would you be willing to accept in order to help hold down premium increases? Please check all that apply.

    Higher annual deductibles (the amount you pay out-of-pocket before benefits begin) Higher office visit co pays (the dollar amount you pay for office visits) Higher prescription drug co pays (the dollar amount you pay for prescription drugs) More network restrictions (smaller group of doctors and specialists to choose from) No dental coverage Other, please specify

    
    
    
48. How often would you like to participate in after hours company event?
    

    Every other month Quarterly Twice a year Just the Christmas Party

    
    
    
49. How would you rate your satisfaction with the communication between you and [Company]?
    

    Very Dissatisfied Dissatisfied No Opinion Satisfied Very Satisfied

    
    
    
50. What would you change about your current job or position?
    
    
    
51. Please identify factors that would improve your job performance in the coming year.
    
    
    
52. When your performance was discussed with you in the past,
    how often did you receive practical suggestions for improving your work?
    

    Very Often Sometimes Rarely Never

    
    
    
53. How would you rate your overall satisfaction with the company in the past year?
    

    Very Dissatisfied Dissatisfied No Opinion Satisfied Very Satisfied

    
    
54. Please give any comments or suggestions on how the company can be improved in the coming year: