Work/Life - Employee Survey Sample #8

Surveys 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 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

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.


Agree Unsure Disagree N/A
  1. I can alter my work schedule to suit my needs.
  1. I am able to balance work and my personal life.
  1. The Company helps employees find an ideal balance between work and life responsibilities
  1. I can take time off to handle personal commitments.
  1. I can adjust my work schedule if needed

Employee Assistance Program

Agree Unsure Disagree N/A
  1. I am very satisfied with the level of service provided by the EAP.
  1. Supervisors and managers are receptive to helping employees utilize the services offered by the EAP.
  1. I am able to reach someone quickly when I have questions or need to use the service.
  1. EAP practitioners are flexible in scheduling appointments.
  1. The EAP used by the Company helps improve job performance.

Employee Relations

Agree Unsure Disagree N/A
  1. Managers entrust employees with important responsibilities
  1. Conflicts are resolved in a positive and constructive manner
  1. Employees at the Company are treated equally with respect
  1. My Supervisor is good a defusing situations before they become serious problems
  1. Managers in this Company appreciate the work of the staff


Agree Unsure Disagree N/A
  1. I know what is expected of me at work
  1. Communication is good between departments.
  1. There is good communication between me and my supervisor
  1. CompanyName does a good job communicating business objectives.
  1. Co-Workers are willing to listen to my ideas

Decision Making

Agree Unsure Disagree N/A
  1. Decisions are usually made with input from multiple individuals
  1. Senior Management discusses issues and ideas with employees before making major changes
  1. My team makes decisions based on data
  1. I am involved in important decisions that affect me
  1. As a team, we make decisions together

Respect for Others

Agree Unsure Disagree N/A
  1. Co-workers treat each other with respect
  1. I am treated with respect by others with whom I work.
  1. At this company, my suggestions are given serious consideration.
  1. I feel respected by management in this organization.
  1. Disrespectful behavior is not tolerated.


Agree Unsure Disagree N/A
  1. My department supports diversity initiatives.
  1. Our department has reasonable goals that are achievable.
  1. Communication is excellent in our department.
  1. My department contributes significantly to the overall production of the organization.
  1. Our department uses performance measures to assess progress towards important goals.


Agree Unsure Disagree N/A
  1. The reorganization was effective
  1. The reorganization was implemented smoothly
  1. I know who I report to and what they expect of me
  1. The Leadership seeks and incorporates new and relevant information that has an impact on the Company reorganization
  1. I know where to go to if I have concerns about these changes.


Agree Unsure Disagree N/A
  1. My Department is able to meet its deadlines
  1. The Company is able to maximize employee potential
  1. Performance measures are evaluated on a quarterly basis
  1. I am held accountable for achieving specific results
  1. I get a sense of personal accomplishment from my work


Agree Unsure Disagree N/A
  1. I am allowed to take initiative to assess my skills and seek appropriate training
  1. The Company seeks to take advantage of opportunities
  1. I feel encouraged to come up with new and better ways of doing things
  1. Senior Management at Company encourages initiative.
  1. My Supervisor capitalizes on opportunities to grow the business

General Open Ended Questions

  1. What are the top three challenges you face in your job?

  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.


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: