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Work/Life - Employee Engagement Survey Sample #3





Questionnaires 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 Engagement 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.

Dimensions Included:
Work/Life, Quality, Commitment, Leadership, Company, Global, Equality, Rewards/Recognition
This survey will take approximately 15-20 minutes to complete. We valued your feedback last year and once again, we encourage you to be honest and constructive in your responses. Should you need to leave your survey before it is complete, you can access it again simply by clicking on the link provided in the introductory email you received. Please do not forward your survey link to any other email address.

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



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Work/Life

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. I am able to say "no" when asked to take on additional tasks if I do not have the time available
  1. My supervisor recognizes my personal needs
  1. I feel the company is committed to my well-being
  1. The company is sensitive to a balance between my work life and my personal life.
  1. My work schedule is flexible enough to meet my needs


Quality

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. My quality work instructions provide meaningful guidance on how to accurately perform my job duties.
  1. The people in my team are committed to doing quality work
  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 Company's image is that of a high quality Employer.


Commitment

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. My manager builds employee commitment through providing employees with growth opportunities.
  1. I would recommend the Company as a great place to work.
  1. Managers connect individual roles to organizational objectives, helping employees see how their work contribute to success.
  1. My manager models ownership and commitment to the firm's success.
  1. The supervisor inspires employees to invest their capabilities in advancing organizational priorities.


Leadership

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. The department head performs effectively, even under frustrating or challenging work conditions.
  1. Supervisors embed feedback into the team's regular workflow, making it part of how the group improves together.
  1. My supervisor empowers others to succeed within their jobs.
  1. My manager coaches others and prepares them for current and future business demands.
  1. The supervisor incorporates company philosophy, mission statement, and core values into the department's culture.


Company

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. I feel supported and empowered to do my best work here.
  1. The parking area is well maintained.
  1. I appreciate my work environment and am able to be productive.
  1. The company has reasonable and timely policies regarding social media.
  1. Our department is adequately staffed.


Global

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. The Company is effective in marketing and distributing its products globally
  1. Leadership identifies key issues affecting the Company at a global level
  1. My Supervisor understands the geo-political business environment
  1. The Company effectively recruits employees with a global perspective
  1. Cultural differences are easily overcome


Equality

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. My Supervisor works to overcome prejudices in the workplace
  1. The corporate culture here is one grounded in inclusion and diversity
  1. My manager ensures that we are "best-in-class" when implementing equality initiatives
  1. Input in decision making is sought from individuals with diverse backgrounds
  1. The Company fosters an inclusive environment where everyone can flourish


Rewards/Recognition

Strongly
Agree
Agree
Disagree
Strongly
Disagree
  1. My Supervisor praises me for a job well done
  1. My supervisor values and appreciates my contributions.
  1. I am recognized whenever I do a good job
  1. I understand the Company reward philosophy and processes
  1. My rewards package is representative of my job performance





  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: