Vision - Employee Survey Sample #7

Questionnaires Measuring Vision:
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:
Vision, Communication, Problem Solving, Feedback/Guidance, Initiative, Work/Life, Global, Employee Assistance Program

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

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)

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

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

Every other month
Quarterly
Twice a year
Just the Christmas Party
How would you rate your satisfaction with the communication between you and [Company]?

Very Dissatisfied
Dissatisfied
No Opinion
Satisfied
Very Satisfied
What would you change about your current job or position?
Please identify factors that would improve your job performance in the coming year.
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
How would you rate your overall satisfaction with the company in the past year?

Very Dissatisfied
Dissatisfied
No Opinion
Satisfied
Very Satisfied
Please give any comments or suggestions on how the company can be improved in the coming year:

Vision	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Labor and Management work together to achieve the Company vision (Click here to add a comment)
The Company is effective in managing growth (Click here to add a comment)
Goals and objectives are integrated and aligned with the Company vision (Click here to add a comment)
Management is able to communicate a shared vision of the Company to all employees (Click here to add a comment)
The Company focus is clearly on customers and the development of innovative products (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?

Communication	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I know what is expected of me at work (Click here to add a comment)
Decisions are clear and are communicated effectively organization-wide. (Click here to add a comment)
I can speak freely to my supervisor on a variety of topics (Click here to add a comment)
Co-Workers are willing to listen to my ideas (Click here to add a comment)
My Supervisor is willing to listen to my ideas (Click here to add a comment)
If [Participant Name] were to make improvements in Communication, 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?

Problem Solving	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
My Department anticipates and resolves problems (Click here to add a comment)
Employees seek to acquire new information and knowledge before deciding on a course of action when problem solving (Click here to add a comment)
We work together to solve problems (Click here to add a comment)
We resolve issues in our organization without resorting to blame, anger, or retribution. (Click here to add a comment)
Leaders identify problems, collect information from various sources, and synthesize that information into effective solutions (Click here to add a comment)
If [Participant Name] were to make improvements in Problem Solving, 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?

Feedback/Guidance	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I see my role to include mentoring and coaching others. (Click here to add a comment)
I actively seek feedback from colleagues and customers about my work. (Click here to add a comment)
I receive adequate feedback and guidance. (Click here to add a comment)
I am given clear instructions and objectives. (Click here to add a comment)
I do not feel micro-managed. (Click here to add a comment)
If [Participant Name] were to make improvements in Feedback/Guidance, 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
My Supervisor capitalizes on opportunities to grow the business (Click here to add a comment)
I feel encouraged to come up with new and better ways of doing things (Click here to add a comment)
Senior Management at Company encourages initiative. (Click here to add a comment)
I am allowed to take initiative to assess my skills and seek appropriate training (Click here to add a comment)
My supervisor encourages initiative. (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?

Work/Life	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
I have input into my work schedule. (Click here to add a comment)
The Company helps employees find an ideal balance between work and life responsibilities (Click here to add a comment)
I can alter my work schedule to suit my needs. (Click here to add a comment)
I am able to balance work and my personal life. (Click here to add a comment)
I can adjust my work schedule if needed (Click here to add a comment)
If [Participant Name] were to make improvements in Work/Life, 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?

Global	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Cultural differences are easily overcome (Click here to add a comment)
The Company is effective in focusing on the Global marketplace (Click here to add a comment)
The Company is effective in marketing and distributing its products globally (Click here to add a comment)
My Supervisor understands the geo-political business environment (Click here to add a comment)
The Company effectively recruits employees with a global perspective (Click here to add a comment)
If [Participant Name] were to make improvements in Global, 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
There is adequate training and orientation provided to the managers and supervisors regarding the EAP. (Click here to add a comment)
I am very satisfied with the level of service provided by the EAP. (Click here to add a comment)
Employees are aware of the EAP. (Click here to add a comment)
I can use the EAP when I need help (Click here to add a comment)
EAP providers/practitioners have good credentials for the services they are providing. (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?