Wellness Program - Employee Opinion Survey Sample #4





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 [Company] Employee Survey. Our objective is to understand and express the values which will ensure [Company] is an exceptional place to work. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

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.

Dimensions Included:
Wellness Program, Human Resources, Work/Life, Facilities, Performance, Pride/Loyalty, Teamwork
Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. 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



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
Disagree
Neutral
Agree
Strongly
Agree
  1. The Company is committed to a healthy workforce
  1. The Company wellness program is easy to use
  1. The wellness program provides a wide array of services to meet my needs
  1. The wellness program is convenient for me
  1. The Company wellness program is personal and confidential
If [Participant Name] were to make improvements in Wellness 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?

Human Resources

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
  1. I have confidence in the HR department to resolve payroll and benefit issues.
  1. CompanyName has adequate HR staff and resources to meet the company's needs.
  1. Information from Human Resources is informative, relevant/timely and consistent.
  1. The HR department has communicated benefit updates and changes regularly and clearly.
  1. Human Resources treats all employees with courtesy and respect.
If [Participant Name] were to make improvements in Human Resources, 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
  1. In my department, most employees are able to complete the work and also take care of things at home when needed
  1. I rarely have to work through lunch breaks
  1. I can set aside certain tasks for tomorrow (not everything has to be done today)
  1. The Company offers me the flexibility I want in allowing me to work at home or change my hours, when required
  1. I can take paid time-off do to things I enjoy
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?

Facilities

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
  1. The building I work in is well maintained
  1. The Facilities department is responsive when I make requests to fixing equipment and/or office space
  1. The Facilities department responses to my requests
  1. I am aware of the procedures I need to take to evacuate the building in case of a fire or natural disaster
  1. The Company offers excellent parking facilities
If [Participant Name] were to make improvements in Facilities, 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?

Performance

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
  1. Performance measures are evaluated on a quarterly basis
  1. I get a sense of personal accomplishment from my work
  1. My annual review is effective in identifying specific goals for performance improvement.
  1. I am held accountable for achieving specific results
  1. My job enables me to make use of my skills and abilities
If [Participant Name] were to make improvements in Performance, 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?

Pride/Loyalty

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
  1. I feel this is a good place to work.
  1. I am glad I chose to work at this Company.
  1. I feel like I contribute to the Company.
  1. This is the best place I have ever worked.
  1. The Company is a good employer to work for.
If [Participant Name] were to make improvements in Pride/Loyalty, 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?

Teamwork

Strongly
Disagree
Disagree
Neutral
Agree
Strongly
Agree
  1. The team leader solicits and implements ideas from all appropriate team members and uses these ideas to help accomplish market goals
  1. Our team leader builds a strong rapport with team members
  1. Teamwork is positively impacting our business results.
  1. Team members listen to each other without interrupting
  1. The team lead contributes to and supports team decision-making process
If [Participant Name] were to make improvements in Teamwork, 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. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?






  2. Would you refer others who are seeking employment to [Company]?


    Please provide explanation:

  3. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?

  4. What changes do you see [Company] making in order to raise the standards?

  5. I feel good about my continued employment with [Company].


    If no, please provide explanation:

  6. What do you like best about working for [Company]?

  7. What do you like least about working for [Company]? How could it be improved?

  8. Use the space below to enter any final comments you would like to be noted: