Wellness Program - Employee Engagement Survey Sample #3





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 Engagement 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.

This survey will take approximately 15-20 minutes to complete. We valued your feedback last year and once again, we encourage you to be honest and constructive in your responses. Should you need to leave your survey before it is complete, you can access it again simply by clicking on the link provided in the introductory email you received. Please do not forward your survey link to any other email address.

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







Wellness Program

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. I would encourage others to use the wellness program
  1. The wellness program provides a wide array of services to meet my needs
  1. I feel the wellness program is an excellent support resource for employees
  1. I feel confident in using the wellness program
  1. The Company wellness program focuses on preventive care, quality of life, and employee satisfaction


Employee Development

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. There are good opportunities for me to take classes in leadership to become a manager/supervisor
  1. Employee development program courses are aligned with the organization's overall goals and objectives
  1. I have many opportunities to learn new things
  1. Training is offered on critical applications and equipment when needed
  1. My manager helps me to become a better employee


Performance Appraisal/Management

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. Pay raises are linked to performance evaluations
  1. Expectations are clearly communicated to me
  1. I am clear about what is expected of me in my position as a result of the Performance Process
  1. The Performance Management process is effective.
  1. My Supervisor is honest and fair in my performance review


Job Satisfaction

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. Considering everything, I am satisfied at this Company
  1. My job is rewarding
  1. I enjoy working at the Company
  1. I am proud to tell others I work for the Company
  1. I receive a lot of satisfaction from my job


Problem Solving

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. My team works to simplify problems to make them more manageable
  1. Employees seek to acquire new information and knowledge before deciding on a course of action when problem solving
  1. In my job I focus on problem solving instead of fault finding
  1. We work together to solve problems
  1. We resolve issues in our organization without resorting to blame, anger, or retribution.


Diversity

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. I have the same opportunity to succeed as others with similar education and experience.
  1. I feel respected and valued by my teammates in terms of diversity, equity, and inclusion.
  1. Company invests time and energy into building diverse, equitable, and inclusive teams.
  1. Employees of all races have an equal opportunity for promotions.
  1. The organization respects who I am


Leadership

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. The Leadership helps maximize business results
  1. Leaders identify problems, collect information from various sources, and synthesize that information into effective solutions
  1. I feel confident in the Company leadership
  1. The Leadership fosters organizational commitment, team spirit, and pride in working for the Company
  1. Leaders are open to feedback from multiple perspectives





  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: