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Employee Opinion Survey Sample 15


Thank you for taking the opportunity to complete this survey. It gives you an opportunity to anonymously share your opinions and perceptions about labor-management relations at our company. In addition, this survey will assess your perceptions around communication, job satisfaction, and collaboration within your department. Findings will be presented to the Labor-Management Committee, and in partnership with the Labor-Management Project, a system-wide intervention will be developed to address areas of concern and increase organizational effectiveness. The Labor-Management Project guarantees that under no circumstances will the information be used to identify you as an individual.
    Demographics
    Your gender:
    Male
    Female
    You are a member of:
    Union
    Non-Union
    Management
    Your age as of last birthday:
    18-30
    31-40
    41-50
    51-60
    61 +

    Number of years in current position:
    Number of years at [Company]:

    Previously you were employed at which region:
    Brooklyn/Queens
    Manhattan
    Staten Island


    Presently working in which department:
    Finance
    Legal Affairs
    Human Resources
    Information Services
    Payor Relations
    Supply Chain (purchasing)
    Patient Financial Services
    US Family Health Plan (USFHP)
    Physician Billing Services


    Ethnically, you consider yourself:
    Asian (Chinese, Filipino, Indian)
    Black (African, American, Caribbean)
    Caucasian (American, European)
    Latino (Mexican, Caribbean & Central/South America)
    Multiethnic
    Native American
    Other

    If other, please explain:

    Labor Management

    Please read the following questions and select the answer that best describes your opinion. Do not leave any questions blank.
    Strongly
    Agree
    Agree Unsure Disagree Strongly
    Disagree
    1. Employees and immediate supervisors resolve issues quickly without resorting to anger, intimidation, or retribution.
    1. My immediate supervisor values my contributions and ideas about how to improve work in my department.
    1. Both, employees and immediate supervisors seek to prevent conflict by addressing work related problems before they escalate.
    1. My immediate supervisor trusts me to do my work without constantly checking on me.
    1. My immediate supervisor shows me how I can improve my performance.
    1. My immediate supervisor encourages me to participate in important decisions.
    1. My immediate supervisor knows his/her job well.


    Communication

    Strongly
    Agree
    Agree Unsure Disagree Strongly
    Disagree
    1. I make decisions that impact my work using factual information rather than rumors.
    1. I know who to talk to when I have a great idea that can improve my department’s performance.
    1. Job openings, which might be promotional opportunities, are visibly posted where I can respond in a timely manner.
    1. My department has an effective process for making decisions.


  1. My department has staff meetings where we discuss work related issues:
    Yes
    No

    If Yes, how often do staff meetings take place:
    Weekly
    Monthly
    Quarterly
    Every six months
    Yearly
    Other:

    If other, please explain:

  2. When I receive information (either written or verbal) that affects my work, it is usually…

    Yes Unsure No
    a. Accurate
    b. Timely
    c. Useful
    d. Understandable
    e. Available to others
    f. Accessible to others
    g. Adequate



  3. The most effective mode of communication in my department is:
    Written/memo
    Verbal
    Email
    Telephone
    Face-to-face
    Other


  4. Which of the following people do you seek to help resolve problems that prevent you from doing your work:
    Human Resources department
    Supervisor
    Union Delegate
    Co-workers
    Someone from another department different than yours

    Job Satisfaction

    Strongly
    Agree
    Agree Unsure Disagree Strongly
    Disagree
    1. I would recommend [Company] as a great place to work.
    1. Promotion opportunities are available at [Company].
    1. I contribute to making [Company] more successful.
    1. I get the training I need to perform my job.
    1. Low morale is a significant problem in my department.
    1. In my department, I am often confused about who is responsible for what.
    1. In my department, work assignments are fairly distributed.



  1. My department has enough personnel to complete our work:
    Yes
    Yes, but staff has to do more work than should be realistically expected.
    It depends on the work we have at any given time
    No
    Unsure


  2. At this point, how long do you intend to remain with [Company] as an employee?
    Until I retire
    Less than 1 year
    1-2 years
    3-5 years
    6-8 years
    More than 8 years
    Unsure


  3. If I could change one thing about my job, it would be:


  4. On a scale of 1-10, rate the level of satisfaction with your job:

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10
    Inflexible
    Flexible




  5. How satisfied are you with…

    Satisfied Unsure Dissatisfied
    a. Salary
    b. Health insurance
    c. Dental insurance
    d. Amount of challenges in job
    e. Ability to use benefits
    f. Paid time off (vacation, sick, personal, and holiday time.)
    g. Physical workspace
    h. Overall quality of supervision
    i. Amount of professional development received


  6. My work resources
    I haveIt works properly
    Computer Yes   No  N/A Yes No
    Copy machine Yes   No  N/A Yes No
    FAX machine Yes   No  N/A Yes No
    Telephone Yes   No  N/A Yes No
    Other: Yes   No  N/A Yes No
    Other: Yes   No  N/A Yes No
    Other: Yes   No  N/A Yes No

    Collaboration

    Strongly
    Agree
    Agree Unsure Disagree Strongly
    Disagree
    1. It often seems as if people in my department are not working together to accomplish our common goal.
    1. I can depend on my co-workers to complete their tasks so that I can complete my work.
    1. Some people in my department put their needs ahead of the department’s.
    1. I understand the importance of being on time as it relates to my work commitment.
    1. Staff in my department work together to improve performance.


  1. What is the working atmosphere like in your department?

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10
    CompetitiveCollaborative




    1

    2

    3

    4

    5

    6

    7

    8

    9

    10
    UnsupportiveSupportive




    1

    2

    3

    4

    5

    6

    7

    8

    9

    10
    InflexibleFlexible




  2. Based on what you know or have heard, why have your former co-workers left their jobs in the last two years? (check all that apply)
    Wages
    Benefits
    Advancement opportunities
    Increased workload
    Commute
    Schedule
    Work environment
    Perceived discrimination
    Retired
    Other



    Suggest ideas that would help with the re-organization of the Company.