Wellness Program - Employee Satisfaction Survey Sample #2





Surveys Measuring Wellness Program:
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 Satisfaction 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.

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

Dimensions Included:
Wellness Program, Job Content and Design, Safety, Adaptability, Resourcefulness, Company, Turnover


Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.




Wellness Program

Strongly
Disagree
1
2
Disagree
3
4
Agree
5
6
Strongly
Agree
7
  1. The Company is committed to a healthy workforce
  1. The wellness program provides a wide array of services to meet my needs
  1. The wellness program is convenient for me
  1. I feel the wellness program is an excellent support resource for employees
  1. The Company wellness program focuses on preventive care, quality of life, and employee satisfaction
What are your suggestions for how we can improve Wellness Program?


Job Content and Design

Strongly
Disagree
1
2
Disagree
3
4
Agree
5
6
Strongly
Agree
7
  1. I can adjust my job description as needed
  1. I am clear about the expectations of my role.
  1. I can make positive suggestions and improve how the Company operates
  1. Overall, my workload is reasonable.
  1. The job re-classification process is simple and efficient
What are your suggestions for how we can improve Job Content and Design?


Safety

Strongly
Disagree
1
2
Disagree
3
4
Agree
5
6
Strongly
Agree
7
  1. My Supervisor would not ask me to perform an unsafe procedure
  1. The safety and health conditions where I work are good
  1. Managers pay attention to workplace safety
  1. I know what to do in an emergency situation
  1. Safety is a primary concern at the Company
What are your suggestions for how we can improve Safety?


Adaptability

Strongly
Disagree
1
2
Disagree
3
4
Agree
5
6
Strongly
Agree
7
  1. My manager is willing to change ideas or perceptions based on new information or contrary evidence
  1. Our department has adjusted to the new vision and mission of the company
  1. Department chairs adapt to new work processes and procedures
  1. The Company is willing to accept change
  1. Department staff will adjust to changes as required
What are your suggestions for how we can improve Adaptability?


Resourcefulness

Strongly
Disagree
1
2
Disagree
3
4
Agree
5
6
Strongly
Agree
7
  1. Our department offers an innovation reward
  1. Our department uses analytics when making decisions
  1. The company rewards employees who are resourceful
  1. The company offers bonuses to those who can help improve the bottom line
  1. Employees in my department are encouraged to build relationships across departments
What are your suggestions for how we can improve Resourcefulness?


Company

Strongly
Disagree
1
2
Disagree
3
4
Agree
5
6
Strongly
Agree
7
  1. This company is innovative in developing new ways to serve our customers.
  1. This company is committed to providing competitive products and services.
  1. CompanyName is making changes necessary to stay competitive.
  1. The work policies are well developed and organized.
  1. CompanyName is an ethical company.
What are your suggestions for how we can improve Company?


Turnover

Strongly
Disagree
1
2
Disagree
3
4
Agree
5
6
Strongly
Agree
7
  1. I plan to be working at the Company forever
  1. Employees in my department who left did so voluntarily
  1. I would consider leaving if I received a better offer from another company
  1. Employees with poor performance are terminated
  1. Opportunities for advancement at CompanyName help reduce turnover.
What are your suggestions for how we can improve Turnover?





  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: