Work/Life - Employee Opinion Survey Sample #11

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 [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

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.


What does Work/Life mean?
It means that ...
  • I can take time off to handle personal commitments.
  • I can alter my work schedule to suit my needs.
  • My Supervisor would let me leave work early if I needed to.
  • The Company helps employees find an ideal balance between work and life responsibilities
  • I can adjust my work schedule if needed

To what extent does our company exhibit Work/Life?
Select from one of the ratings below.


What does Performance mean?
It means that ...
  • My Supervisor is able to manage time effectively
  • I am held accountable for achieving specific results
  • I get a sense of personal accomplishment from my work
  • The Company is able to maximize employee potential
  • My annual review is effective in identifying specific goals for performance improvement.

To what extent does our company exhibit Performance?
Select from one of the ratings below.


What does Systems mean?
It means that ...
  • The Quality Management system in place helps us achieve compliance with ISO 9001 and other models for quality systems
  • Training is implemented as a coordinated part of an overall system of employee development
  • The Company uses a systematic process for identifying employee development needs and implementing solutions
  • The Company has an excellent employee hiring and selection system
  • Continuity of leadership is achieved through effective succession planning

To what extent does our company exhibit Systems?
Select from one of the ratings below.


What does Hiring mean?
It means that ...
  • Hiring procedures are clearly defined
  • My department has adequate levels of staffing.
  • The Company employs highly professional people
  • The hiring process is efficient and easy to follow
  • The Company is good at finding the right talent for current and future work.

To what extent does our company exhibit Hiring?
Select from one of the ratings below.

Wellness Program

What does Wellness Program mean?
It means that ...
  • I feel confident in using the wellness program
  • The wellness program is convenient for me
  • I feel the wellness program is an excellent support resource for employees
  • The Company wellness program is easy to use
  • The wellness program provides a wide array of services to meet my needs

To what extent does our company exhibit Wellness Program?
Select from one of the ratings below.

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: