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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.

Edit this Survey
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Work/Life

Strongly
Disagree
1
2
Neutral
3
4
Strongly
Agree
5
Not
Applicable
  1. I can adjust my work schedule if needed
  1. I am able to put my phone away when I need to
  1. The company is looking out for my best interests as well
  1. I have a regular exercise routine that I follow
  1. My work schedule is flexible enough to meet my needs
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. The project manager ensures that staff have the necessary training and are informed about best practices and procedures.
  1. Our team leader creates systems for gathering and acting on feedback from employees, customers, and stakeholders.
  1. My department utilizes a variety of approaches and tools to tackle issues in various contexts.
  1. Senior leadership are able to solve difficult problems with ease.
  1. Managers engage employees in the decision-making process to ensure their support before introducing a solution to a major problem.
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. The project leader will reorder the schedule of events to maximize attendance/efficiency
  1. My manager sets milestones to track progress on the plan
  1. Our division establishes and monitors timeframes and timelines
  1. I know what steps are needed to plan for equipment upgrades
  1. Leadership at the company assesses the potential impact of changes to the strategic plan
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. The majority of my coworkers are satisfied with their jobs.
  1. I have good working relationships with my coworkers.
  1. I have a good working environment.
  1. I am made to feel that I am an important part of the Company
  1. I am satisfied with the compensation and benefits I receive.
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. The company supports a flexible culture that values continuous improvement and innovation.
  1. The training coordinator creates personalized training schedules, offering various learning formats (like virtual and in-person sessions), and provides tailored training resources.
  1. My manager adapts workflows according to changing needs.
  1. My coworkers are able to change processes quickly based on the task or needs of the customer.
  1. My colleagues innovate skills and modify behaviors to remain flexible in addressing important issues.
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. The team leader takes action in the absence of specific direction.
  1. Coworkers in my department take the initiative to complete task ahead of schedule.
  1. The project manager engages with new customers immediately.
  1. Leadership at the Company encourages initiative and risk taking.
  1. My manager anticipates problems and initiates plans to address them.
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. I feel like I contribute to the Company.
  1. The Company is a good employer to work for.
  1. I am glad I chose to work at this Company.
  1. I feel this is a good place to work.
  1. I feel like I am able to help my department.
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. IT staff are knowledgeable about the software and equipment we use.
  1. The IT Department keeps us informed of major changes to the software applications being used.
  1. Information Technology staff at this Company are easy to approach with a work related problem.
  1. The IT Department is quick to respond to my issues.
  1. The IT Department is effective in maintaining the equipment in my department.
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. My input was recognized and accepted during this reorganization.
  1. Management has clearly explained the purpose for the reorganization.
  1. The company was successful in the reorganization.
  1. I know who I report to and what they expect of me
  1. The reorganization has helped our department become more efficient.
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. My Supervisor is effective in maximizing the potential of others
  1. I understand the process of allocating fiscal resources
  1. The Company has the right people in the right places.
  1. My workplace is a physically comfortable place to work
  1. I understand the budget process
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: