Work/Life - Employee Opinion Survey Sample #1





Measuring Work/Life:
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 Opinion Survey. We recognize that our employees are our biggest asset and we are committed to continuing to ensure that the [Company] is considered a great place to work. We would like to hear from you as your opinions will help to guide our objectives.

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.

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:
Work/Life, Problem Solving, Planning, Job Satisfaction, Flexibility, Initiative, Pride/Loyalty, Information Technology/IT, Reorganization, Resources


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.




Work/Life

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. The Company should establish a program to assist employees who have to care for an elderly relative
  1. The Company offers flexible scheduling options.
  1. I am able to complete required tasks before moving on to the next assignment
  1. I can take paid time-off do to things I enjoy
  1. When working from home, I have a schedule that I try to follow
If [Participant Name] were to make improvements in Work/Life, 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?

Problem Solving

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. We work together to solve problems
  1. Employees seek to acquire new information and knowledge before deciding on a course of action when problem solving
  1. We resolve issues in our organization without resorting to blame, anger, or retribution.
  1. My team works to simplify problems to make them more manageable
  1. Leaders identify problems, collect information from various sources, and synthesize that information into effective solutions
If [Participant Name] were to make improvements in Problem Solving, 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?

Planning

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. I am able to develop logistics plans to move material through a multi-step supply chain
  1. Our department's strategic plan is linked to the organization's mission and goals
  1. My manager is able to look ahead (beyond the present) when addressing the work/needs of the department
  1. The project lead notifies staff when the plan is not on schedule
  1. I feel that leadership is able to anticipate obstacles and find ways to overcome them
If [Participant Name] were to make improvements in Planning, 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?

Job Satisfaction

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. I am proud to tell others I work for the Company
  1. I enjoy working at the Company
  1. The people in my department feel good about coming to work
  1. Considering everything, I am satisfied at this Company
  1. I feel satisfied at the Company
If [Participant Name] were to make improvements in Job Satisfaction, 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?

Flexibility

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. My Department can recover quickly from setbacks
  1. The hiring procedures are flexible to handle unique situations and needs
  1. The company recognizes and quickly adapts to shifts in the environment, market, or industry.
  1. My manager is willing to try new ideas.
  1. Our department responds positively to unanticipated changes in the work schedule.
If [Participant Name] were to make improvements in Flexibility, 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?

Initiative

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. I feel encouraged to come up with new and better ways of doing things
  1. Senior Management at Company encourages initiative.
  1. The Company seeks to take advantage of opportunities
  1. My Supervisor capitalizes on opportunities to grow the business
  1. I am allowed to take initiative to assess my skills and seek appropriate training
If [Participant Name] were to make improvements in Initiative, 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?

Pride/Loyalty

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. This is the best place I have ever worked.
  1. I feel like I am able to help my department.
  1. I feel like I contribute to the Company.
  1. I am glad I chose to work at this Company.
  1. The Company is a good employer to work for.
If [Participant Name] were to make improvements in Pride/Loyalty, 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?

Information Technology/IT

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. The IT Department is effective in maintaining the equipment in my department.
  1. IT Department responds quickly when equipment or software breaks down.
  1. Information Technology staff at this Company are easy to approach with a work related problem.
  1. Information Technology responds to my questions and inquiries in a timely manner.
  1. The IT Department is quick to respond to my issues.
If [Participant Name] were to make improvements in Information Technology/IT, 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?

Reorganization

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. The Company is effective in reorganizing to meet new business challenges and opportunities
  1. I am happy with my new job assignments.
  1. The reorganization was effective
  1. The reorganization has strengthened our position as a company.
  1. Unnecessary and duplicated job roles were eliminated by the recent reorganization.
If [Participant Name] were to make improvements in Reorganization, 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?

Resources

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. I can manage information and technical resources to achieve objectives
  1. My workplace is well maintained and safe
  1. I understand the process of allocating fiscal resources
  1. The Company has the right people in the right places.
  1. I have all the tools and equipment I need to do my job well
If [Participant Name] were to make improvements in Resources, 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?




  1. What changes would you like to see in your benefit plans? Please note that some of these may increase premium rates. Please check all that apply.
    Add a higher deductible plan ($1,000 - $2,500)
    Increase vision care
    Increase dental care
    Add wellness program (weight loss, nutrition, smoking cessation programs, etc.)
    Add a Medical Spending Account (MSA) (allows employees to enroll in a high deductible health plan,
    spacer and then [Company] and the employee contribute on a pre-tax basis to an account used for eligible medical expenses)


  2. What changes would you be willing to accept in order to help hold down premium increases? Please check all that apply.
    Higher annual deductibles (the amount you pay out-of-pocket before benefits begin)
    Higher office visit co pays (the dollar amount you pay for office visits)
    Higher prescription drug co pays (the dollar amount you pay for prescription drugs)
    More network restrictions (smaller group of doctors and specialists to choose from)
    No dental coverage
    Other, please specify


  3. How often would you like to participate in after hours company event?






  4. How would you rate your satisfaction with the communication between you and [Company]?







  5. What would you change about your current job or position?


  6. Please identify factors that would improve your job performance in the coming year.


  7. When your performance was discussed with you in the past,
    how often did you receive practical suggestions for improving your work?






  8. How would you rate your overall satisfaction with the company in the past year?






  9. Please give any comments or suggestions on how the company can be improved in the coming year: