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





Vision

 Strongly
Disagree		 Disagree Neutral Agree Strongly
Agree		 Not
Applicable
  1. Our department builds a culture that reinforces the manager's vision
    (Click here to add a comment)
  1. The Company focus is clearly on customers and the development of innovative products
    (Click here to add a comment)
  1. The department manager charts a bold course for the department's evolution
    (Click here to add a comment)
  1. Coworkers behave in a way that is consistent with business values & code of conduc
    (Click here to add a comment)
  1. The department channels team activities towards the vision's core aspects
    (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
  1. My manager has the technical skills to be able to clarify complex or technical information
    (Click here to add a comment)
  1. Meetings are usually chaired by competent and articulate individuals who can effectively communicate ideas and information
    (Click here to add a comment)
  1. In our department, colleagues are effective in communicating thoughts and feelings to others
    (Click here to add a comment)
  1. My manager is professional at all times--never ridiculing, mocking or undermining peers or subordinates.
    (Click here to add a comment)
  1. Coworkers use correct spelling, grammar and punctuation
    (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
  1. We resolve issues in our organization without resorting to blame, anger, or retribution.
    (Click here to add a comment)
  1. My team works to simplify problems to make them more manageable
    (Click here to add a comment)
  1. In my job I focus on problem solving instead of fault finding
    (Click here to add a comment)
  1. My Department anticipates and resolves problems
    (Click here to add a comment)
  1. Employees seek to acquire new information and knowledge before deciding on a course of action when problem solving
    (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
  1. I am comfortable giving feedback to others.
    (Click here to add a comment)
  1. I actively seek feedback from colleagues and customers about my work.
    (Click here to add a comment)
  1. I receive adequate feedback and guidance.
    (Click here to add a comment)
  1. I do not feel micro-managed.
    (Click here to add a comment)
  1. I see my role to include mentoring and coaching others.
    (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
  1. My supervisor encourages initiative.
    (Click here to add a comment)
  1. Leadership at the Company encourages initiative and risk taking
    (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)
  1. I am allowed to take initiative to assess my skills and seek appropriate training
    (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
  1. I feel that I have a realistic work schedule
    (Click here to add a comment)
  1. Work is not very stressful
    (Click here to add a comment)
  1. I am able to complete my work before given new work to complete
    (Click here to add a comment)
  1. The company is looking out for my best interests as well
    (Click here to add a comment)
  1. I have enough time to do my work
    (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
  1. The Company is aware of market factors that affect us at a global level
    (Click here to add a comment)
  1. The Company is effective in focusing on the Global marketplace
    (Click here to add a comment)
  1. Leadership identifies key issues affecting the Company at a global level
    (Click here to add a comment)
  1. The Company effectively recruits employees with a global perspective
    (Click here to add a comment)
  1. The Company is effective in marketing and distributing its products globally
    (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
  1. I feel the EAP provides a good service for the employees.
    (Click here to add a comment)
  1. Representatives from the EAP provide followup/referral services.
    (Click here to add a comment)
  1. The EAP process includes opportunities for me to provide feedback to help improve the process.
    (Click here to add a comment)
  1. The EAP is convenient for me
    (Click here to add a comment)
  1. The Company EAP is confidential
    (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?





  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: