Wellness Program - Employee Opinion Survey Sample #12





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 [Company] Employee Survey. Our objective is to understand and express the values which will ensure [Company] is an exceptional place to work. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

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.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. 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



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

  • I feel confident in using the wellness program
  • The wellness program provides a wide array of services to meet my needs
  • The Company wellness program is personal and confidential
  • The Company wellness program is easy to use
  • The Company is committed to a healthy workforce
Strongly
Disagree
Neutral
Opinion
Strongly
Agree






Click this box to make your rating
Comments:

Performance Appraisal/Management

  • My Supervisor is honest and fair in my performance review
  • I trust the feedback I receive from my Supervisor
  • I am clear about what is expected of me in my position as a result of the Performance Process
  • The Performance Appraisal system has specific standards
  • Expectations are clearly communicated to me
Strongly
Disagree
Neutral
Opinion
Strongly
Agree






Click this box to make your rating
Comments:

Supervision

  • My manager is respectful toward employees
  • My supervisor provides direction and coaching to employees
  • Supervisors in my department are diligent about completing performance assessments on time
  • My supervisor is fair and equitable in enforcement of work rules
  • Managers are open to listening to others
Strongly
Disagree
Neutral
Opinion
Strongly
Agree






Click this box to make your rating
Comments:

Initiative

  • Leadership at the Company encourages initiative and risk taking
  • I am allowed to take initiative to assess my skills and seek appropriate training
  • My Supervisor capitalizes on opportunities to grow the business
  • The Company seeks to take advantage of opportunities
  • Senior Management at Company encourages initiative.
Strongly
Disagree
Neutral
Opinion
Strongly
Agree






Click this box to make your rating
Comments:

Training

  • The on-the-job training I received has prepared me for this job
  • I have received good training to do my job
  • The Company supports efforts by employees to obtain training on new skills
  • I am allowed to take initiative to assess my skills and seek appropriate training
  • The Company employs competent and skilled trainers
Strongly
Disagree
Neutral
Opinion
Strongly
Agree






Click this box to make your rating
Comments:

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







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


Please provide explanation:


If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?



What changes do you see [Company] making in order to raise the standards?


I feel good about my continued employment with [Company].


If no, please provide explanation:



What do you like best about working for [Company]?


What do you like least about working for [Company]? How could it be improved?

Use the space below to enter any final comments you would like to be noted: