Wellness Program - Employee Survey Sample #8





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 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.

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. 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

Dimensions Included:
Wellness Program, Pay, Supervisor, Business Focus, Hiring, Feedback/Guidance, Quality, Customer Service


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

 Agree Unsure Disagree N/A
  1. The wellness program provides a wide array of services to meet my needs
  1. The Company wellness program is easy to use
  1. I feel confident in using the wellness program
  1. I would encourage others to use the wellness program
  1. The Company wellness program is personal and confidential


Pay

 Agree Unsure Disagree N/A
  1. I have a clear understanding of the Company pay policy
  1. I am satisfied with the level of pay I receive
  1. The pay offered by the Company is very competitive
  1. I am compensated fairly for the work I do.
  1. My Supervisor is always trying to make sure I am fairly compensated


Supervisor

 Agree Unsure Disagree N/A
  1. My Supervisor is able to manage emotions during difficult times
  1. My Supervisor coaches and mentors others to achieve higher performance levels
  1. My Supervisor demonstrates empathy, respect, and openness to employees
  1. My Supervisor assigns the right work to the right employees
  1. My Supervisor has a strong work ethic that inspires others


Business Focus

 Agree Unsure Disagree N/A
  1. The Leadership is effective in allocating financial resources
  1. Strategic planning helps develop new business opportunities
  1. The Company continues to grow and expand its services
  1. The Company engages in various initiatives to focus on its business strategy
  1. The Leadership understands the different business climates in which the Company operates


Hiring

 Agree Unsure Disagree N/A
  1. The Company is good at finding the right talent for current and future work.
  1. The Company employs highly professional people
  1. The hiring process is efficient and easy to follow
  1. The Company is successful in recruiting to fill both long-term and short-term positions
  1. Managers follow the hiring procedures


Feedback/Guidance

 Agree Unsure Disagree N/A
  1. I actively seek feedback from colleagues and customers about my work.
  1. I am comfortable giving feedback to others.
  1. I see my role to include mentoring and coaching others.
  1. I receive adequate feedback and guidance.
  1. I receive mentoring and coaching from my superior.


Quality

 Agree Unsure Disagree N/A
  1. Methods are in place to identify production problems
  1. Continuous learning and improvement helps the Company respond to Change and achieve success
  1. The people in my team are committed to doing quality work
  1. My quality work instructions provide meaningful guidance on how to accurately perform my job duties.
  1. Management places importance on quality work.


Customer Service

 Agree Unsure Disagree N/A
  1. Our team’s current activities reflect a strong focus on the customer
  1. My supervisor is focused on improving customer service.
  1. My Department is committed to customer service
  1. Service is responsive and meets the needs of customers
  1. I understand the relationship between my service to internal/external customers and Company's success.




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: