Wellness Program - Pulse Survey - Sample #6





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.

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






Wellness Program

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. I feel confident in using the wellness program
  1. The Company is committed to a healthy workforce
  1. The Company wellness program is personal and confidential
  1. I would encourage others to use the wellness program
  1. The Company wellness program focuses on preventive care, quality of life, and employee satisfaction


Employee Assistance Program

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. EAP counseling staff are very professional.
  1. The EAP providers follow up with employees who are absent from work.
  1. Employees are aware of the services offered by the EAP.
  1. I am very satisfied with the level of service provided by the EAP.
  1. There is one-on-one counseling services provided by professionals.


Benefits

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. I recognize my benefits are part of an employee total compensation program
  1. The Company offers better benefits than other companies
  1. I understand the benefits that are available.
  1. I think the benefits offered by the Company meet my needs
  1. The Company offers a comprehensive benefits package


Systems

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. The Quality Management system in place helps us achieve compliance with ISO 9001 and other models for quality systems
  1. The Company uses a systematic process for identifying employee development needs and implementing solutions
  1. Training is implemented as a coordinated part of an overall system of employee development
  1. Managers are skilled and trained in the various systems to help employees when needed
  1. Continuity of leadership is achieved through effective succession planning


Adaptability

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. The Company is willing to accept change
  1. My team handles change easily
  1. I learn new skills to become more valuable for the organization
  1. I am proactive and take steps to prepare for changes in the workplace
  1. Coworkers are flexible and adaptable when confronted with unexpected changes


Supervision

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. My manager is respectful toward employees
  1. Managers seek to provide effective training and development opportunities for their employees
  1. Managers are effective in delegating assignments
  1. Supervisors provide useful and constructive feedback to employees
  1. My supervisor motivates others through persuasion rather than coercion


Performance

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. My Department is able to meet its deadlines
  1. My Supervisor is able to manage time effectively
  1. The Company is able to maximize employee potential
  1. I get a sense of personal accomplishment from my work
  1. I am held accountable for achieving specific results


Staffing

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. My Department has an adequate level of staffing
  1. My Supervisor is good at building a staff of creative and innovative individuals
  1. The Company has a good supply of emerging leaders
  1. My Department has the right people in the right places
  1. My Supervisor is good at determining staffing needs


Turnover

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. Some employees in my department were involuntarily terminated
  1. There is a lack of opportunities in my department
  1. Opportunities for advancement at CompanyName help reduce turnover.
  1. Management helps reduce turnover.
  1. Employees enjoy working at the Company



General Open Ended Questions


  1. What are the top three challenges you face in your job?
    1.
    2.
    3.


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

    If not, please explain:


  3. Are there any changes to an existing workflow, process or procedure you believe could improve your ability to perform your job more effectively or efficiently?

    If so, please describe:


  4. In your opinion, what are positive aspects of [Company]?



  5. What is the most important thing you would like to see [Company] do to improve as a place to work?



  6. On a scale of Excellent to Poor, how would you rate your overall employment experience
    with [Company] and why?






  7. Please enter any final comments you would like to share.

Demographics

Questions below are optional, however, providing this information
will help us make accurate conclusions for specific work groups.
None of this information will be used to identify individual respondents.
  1. Your department:








  2. Years of Service:





  3. Your location:




  4. Your shift: