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 is convenient for me
  1. The Company wellness program focuses on preventive care, quality of life, and employee satisfaction
  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 easy to use


Pay

 Agree Unsure Disagree N/A
  1. The pay offered by the Company is very competitive
  1. My pay matches my job performance
  1. I have a clear understanding of the Company pay policy
  1. I am compensated fairly for the work I do.
  1. I am satisfied with the level of pay I receive


Supervisor

 Agree Unsure Disagree N/A
  1. My Supervisor sets a good example for others to follow
  1. My supervisor is approachable and easy to talk with
  1. My Supervisor recognizes those who have exceeded expectations
  1. My Supervisor is able to manage emotions during difficult times
  1. My Supervisor has a strong work ethic that inspires others


Business Focus

 Agree Unsure Disagree N/A
  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
  1. The Company seeks to take advantage of opportunities
  1. The Leadership is effective in allocating financial resources
  1. Strategic planning helps develop new business opportunities


Hiring

 Agree Unsure Disagree N/A
  1. The hiring process is efficient and easy to follow
  1. Managers follow the hiring procedures
  1. The hiring procedures consistently hire excellent candidates
  1. The Company has a good pool of applicants to choose from
  1. The Company is successful in recruiting to fill both long-term and short-term positions


Feedback/Guidance

 Agree Unsure Disagree N/A
  1. I see my role to include mentoring and coaching others.
  1. I actively seek feedback from colleagues and customers about my work.
  1. I receive mentoring and coaching from my superior.
  1. I do not feel micro-managed.
  1. I am given clear instructions and objectives.


Quality

 Agree Unsure Disagree N/A
  1. Management places importance on quality work.
  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. Continuous learning and improvement helps the Company respond to Change and achieve success
  1. The Company's image is that of a high quality Employer.


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. The corporate culture emphasizes 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: