Wellness Program - Employee Opinion Survey Sample #9





Questionnaires 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 Satisfaction Survey. One of our objectives is for us all to feel that [Company] is an exceptional place to work. To gauge our progress in reaching that goal, we are asking you to take time to respond to a satisfaction survey to help us identify where we are doing well and where we have opportunities to do better together.

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

Dimensions Included:
Wellness Program, Resourcefulness, Performance Appraisal/Management, Quality, Teamwork, Turnover, Company


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
1
Disagree
2
Agree
3
Strongly
Agree
4
  1. The Company wellness program is easy to use
  1. The Company wellness program focuses on preventive care, quality of life, and employee satisfaction
  1. The Company wellness program is personal and confidential
  1. I would encourage others to use the wellness program
  1. The Company is committed to a healthy workforce
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?

Resourcefulness

Strongly
Disagree
1
Disagree
2
Agree
3
Strongly
Agree
4
  1. I look for ways to improve workplace practices
  1. My manager encourages us to find innovative solutions to problems
  1. We are encouraged to think of new ways to solve problems.
  1. Resourceful employees get ahead in this organization
  1. We usually start with a plan of action but will change it as needed
If [Participant Name] were to make improvements in Resourcefulness, 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 Appraisal/Management

Strongly
Disagree
1
Disagree
2
Agree
3
Strongly
Agree
4
  1. Expectations are clearly communicated to me
  1. My Supervisor is honest and fair in my performance review
  1. Pay raises are linked to performance evaluations
  1. The Performance Appraisal system has specific standards
  1. I trust the feedback I receive from my Supervisor
If [Participant Name] were to make improvements in Performance Appraisal/Management, 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?

Quality

Strongly
Disagree
1
Disagree
2
Agree
3
Strongly
Agree
4
  1. My quality work instructions provide meaningful guidance on how to accurately perform my job duties.
  1. Management places importance on quality work.
  1. Management supports and encourages finding ways to improve the quality of work products.
  1. Managers try to prevent production problems before they occur
  1. The Company's image is that of a high quality Employer.
If [Participant Name] were to make improvements in Quality, 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
1
Disagree
2
Agree
3
Strongly
Agree
4
  1. The team leader encourages dialog between team members
  1. My coworkers appreciate the input from other team members
  1. We can handle changes made by the team without complaining
  1. Our team is effective in adjusting to changes in the composition of the team
  1. Other team members will help me if I need help
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?

Turnover

Strongly
Disagree
1
Disagree
2
Agree
3
Strongly
Agree
4
  1. There is a lack of opportunities in my department
  1. The level of pay offered by the Company helps to reduce turnover
  1. There is a lack of opportunities in the company
  1. I would describe my department as toxic
  1. The level of benefits offered by the Company helps to reduce turnover
If [Participant Name] were to make improvements in Turnover, 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?

Company

Strongly
Disagree
1
Disagree
2
Agree
3
Strongly
Agree
4
  1. This company is committed to providing competitive products and services.
  1. CompanyName is making changes necessary to stay competitive.
  1. This company is innovative in developing new ways to serve our customers.
  1. CompanyName is an ethical company.
  1. Our standards for business ethics are high.
If [Participant Name] were to make improvements in Company, 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?