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. The wellness program provides a wide array of services to meet my needs
  1. I would encourage others to use the wellness program
  1. The Company wellness program is personal and confidential
  1. The Company is committed to a healthy workforce
  1. The wellness program is convenient for me


Employee Assistance Program

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. The EAP used by the Company helps improve job performance.
  1. The EAP providers follow up with employees who are absent from work.
  1. There is adequate training and orientation provided to the managers and supervisors regarding the EAP.
  1. I can use the EAP when I need help
  1. Employees are aware of the EAP.


Benefits

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. The benefits program meets my needs.
  1. The Company offers a comprehensive benefits package
  1. I understand the benefits that are available.
  1. The premiums for benefits are reasonable
  1. I recognize my benefits are part of an employee total compensation program


Systems

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


Adaptability

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. Leadership responds quickly to new information
  1. Co-workers are willing to learn new skills to help the bottom line
  1. I work effectively in dynamic and changing work environments
  1. I am able to take on new tasks
  1. The company embraces changes in technology and automation


Supervision

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. Managers ask employees for their ideas and opinions
  1. I receive the training on equipment as needed
  1. Supervisors perform thorough and timely employee performance appraisals
  1. Managers have a strong work ethic that inspires others
  1. Supervisors appropriately recognize and reward employees


Performance

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  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
  1. My Supervisor is able to manage time effectively
  1. My Department is able to meet its deadlines


Staffing

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. My Supervisor is good at building a staff of creative and innovative individuals
  1. My Supervisor is good at determining staffing needs
  1. My Department has an adequate level of staffing
  1. The Company has an excellent workforce planning strategy to meet future needs
  1. The Company has adequate help during peak work loads


Turnover

Strongly
Agree
Agree
No
Opinion
Disagree
Strongly
Disagree
  1. Some employees in my department were involuntarily terminated
  1. I would describe my department as toxic
  1. Opportunities for advancement at CompanyName help reduce turnover.
  1. Employees with poor performance are terminated
  1. My current work environment is hostile



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: