Staffing - Employee Survey Sample #7





Questionnaires Measuring Staffing:
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 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 Included:
Staffing, Employee Assistance Program, Benefits, Systems, Customer Service, Initiative
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





Staffing

 Strongly
Disagree		 Disagree Neutral Agree Strongly
Agree		 Not
Applicable
  1. The Company has a good supply of emerging leaders
    (Click here to add a comment)
  1. The Company has adequate help during peak work loads
    (Click here to add a comment)
  1. The Company has an excellent workforce planning strategy to meet future needs
    (Click here to add a comment)
  1. My Supervisor is good at building a staff of creative and innovative individuals
    (Click here to add a comment)
  1. My Supervisor is good at determining staffing needs
    (Click here to add a comment)
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?

Employee Assistance Program

 Strongly
Disagree		 Disagree Neutral Agree Strongly
Agree		 Not
Applicable
  1. The EAP process includes opportunities for me to provide feedback to help improve the process.
    (Click here to add a comment)
  1. I feel confident in using the EAP
    (Click here to add a comment)
  1. The EAP used by the company provides a broad range of counseling services.
    (Click here to add a comment)
  1. The EAP practitioners are professional, experienced, dedicated to their work.
    (Click here to add a comment)
  1. There is adequate training and orientation provided to the managers and supervisors regarding the EAP.
    (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?

Benefits

 Strongly
Disagree		 Disagree Neutral Agree Strongly
Agree		 Not
Applicable
  1. The Company offers better benefits than other companies
    (Click here to add a comment)
  1. I understand the benefits that are available.
    (Click here to add a comment)
  1. I recognize my benefits are part of an employee total compensation program
    (Click here to add a comment)
  1. The Company offers a comprehensive benefits package
    (Click here to add a comment)
  1. The benefits program meets my needs.
    (Click here to add a comment)
If [Participant Name] were to make improvements in Benefits, 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?

Systems

 Strongly
Disagree		 Disagree Neutral Agree Strongly
Agree		 Not
Applicable
  1. Managers are skilled and trained in the various systems to help employees when needed
    (Click here to add a comment)
  1. The Company uses a systematic process for identifying employee development needs and implementing solutions
    (Click here to add a comment)
  1. The Company has an excellent employee hiring and selection system
    (Click here to add a comment)
  1. The Quality Management system in place helps us achieve compliance with ISO 9001 and other models for quality systems
    (Click here to add a comment)
  1. Training is implemented as a coordinated part of an overall system of employee development
    (Click here to add a comment)
If [Participant Name] were to make improvements in Systems, 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?

Customer Service

 Strongly
Disagree		 Disagree Neutral Agree Strongly
Agree		 Not
Applicable
  1. Our team’s current activities reflect a strong focus on the customer
    (Click here to add a comment)
  1. The corporate culture emphasizes customer service
    (Click here to add a comment)
  1. My supervisor is focused on improving customer service.
    (Click here to add a comment)
  1. Managers are focused on improving customer service
    (Click here to add a comment)
  1. I understand the relationship between my service to internal/external customers and Company's success.
    (Click here to add a comment)
If [Participant Name] were to make improvements in Customer Service, 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?

Initiative

 Strongly
Disagree		 Disagree Neutral Agree Strongly
Agree		 Not
Applicable
  1. I am allowed to take initiative to assess my skills and seek appropriate training
    (Click here to add a comment)
  1. Leadership at the Company encourages initiative and risk taking
    (Click here to add a comment)
  1. My Supervisor capitalizes on opportunities to grow the business
    (Click here to add a comment)
  1. The Company seeks to take advantage of opportunities
    (Click here to add a comment)
  1. I feel encouraged to come up with new and better ways of doing things
    (Click here to add a comment)
If [Participant Name] were to make improvements in Initiative, 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. 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,
    spacer and then [Company] and the employee contribute on a pre-tax basis to an account used for eligible medical expenses)


  2. 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


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






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







  5. What would you change about your current job or position?


  6. Please identify factors that would improve your job performance in the coming year.


  7. When your performance was discussed with you in the past,
    how often did you receive practical suggestions for improving your work?






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






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