Employee Opinion Survey Form

Employee Opinion Survey

DATE:	Today

TO:	Employees
FROM:	The Boss
CC:	His or Her Boss
SUBJECT:	OPINION SURVEY

The following is a survey I'd like you each to complete. This feedback is very important to the success of our business and achieving our goal of being the best in our industry. I need you to be as honest as possible. If I don't know what issues are on your mind, we can't fix them.

For those of you who haven't been with the company very long, give your opinions where you feel you can, or select neutral, if you have no opinion.

This survey is totally anonymous and confidential. However, I would like an indication of your department so that we can receive some feedback particular to your group.

Once the results are compiled, I'll share them at the following company meeting. I need these done by date . For this to work well, I need to get back everyone's completed survey. After I compile the results, I'll share my findings with all of you. Thanks for your feedback.

Your Code: 101 optional, e.g. 123

Date: 05/09/2001

Department: Billing select one

The following is a checklist for rating your company and its management. The survey should be completed anonymously. Answer the questions as honestly as possible, using the following 7 point scale. In order to complete the survey, you must provide an answer to all except the final four questions. If you don't have an opinion on a particular statement, enter a 4.

1
2
3
4
5
6
7

Strongly
Disagree
Disagree
Slightly
Disagree
Neutral or Unknown
Slightly
Agree
Agree
Strongly
Agree

Rating

Communications

4-Neutral or Unknown 1. An environment of open communication is encouraged at our company.
above the level of my immediate manager.

4-Neutral or Unknown 2. I feel free to communicate my ideas and concerns to managers

6-Agree 3. On most work related matters, I can express my opinions openly and honestly.

Development

2-Disagree 4. I have received the training and personal development opportunities I need to do my job well.

4-Neutral or Unknown 5. Equal opportunities are provided for all company employees to advance and grow.

Teamwork

6-Agree 6. Teamwork and cooperation among departments are encouraged in working together to achieve company objectives.

6-Agree 7. I feel involved in making decisions that affect our company.

Workload

4-Neutral or Unknown 8. Deadlines for completion of my work are reasonable.

7-Strongly Agree 9. Projects are adequately staffed in my department

Morale and Environment

3-Slightly Disagree 10. Right now, morale at our company is good.

5-Slightly Agree 11. Employee morale has improved in the past six months

3-Slightly Disagree 12. If I received a job offer from another department in our company, I would take it.

3-Slightly Disagree 13. I am likely to leave this company for work with another company in the next three months.

6-Agree 14. The office facilities encourage a productive work environment.

5-Slightly Agree 15. The office equipment we have at our company is sufficient to get our daily work done.

Compensation

6-Agree 16. Compared to what other companies offer in our geographic area for similar work, paid compensation is fair at our company.

6-Agree 17. Compared to what other companies offer in our geographic area for similar work, benefits are fair at our company.

5-Slightly Agree 18. My pay is better than what most other companies offer for similar work

2-Disagree 19. Company employees are recognized and rewarded based on performance.

Security

6-Agree 20. I feel comfortable about the business propects of our company.

5-Slightly Agree 21. I feel comfortable about the financial health of our company at this time.

Goals

6-Agree 22. My department objectives are clearly defined.

2-Disagree 23. Company values are clearly demonstrated and reinforced.

Management

Please give your opinions on the following statements in relation to the performance of your Supervisor or Manager:

2-Disagree 24. Conveys the results he or she expects of me.

3-Slightly Disagree 25. Encourages me to be creative and innovative.

3-Slightly Disagree 26. Allows me to use my own judgment and make decisions independently.

5-Slightly Agree 27. Gives me good direction when I ask questions.

3-Slightly Disagree 28. Listens to my ideas and concerns.

2-Disagree 29. Helps me understand how I can advance myself within the company.

3-Slightly Disagree 30. Gives me meaningful and honest feedback on how I perform my job.

3-Slightly Disagree 31. Motivates me to do the best I can.

2-Disagree 32. Treats me fairly and consistently.

2-Disagree 33. Supports and backs me when needed.

5-Slightly Agree 34. Champions issues to Senior Management.

5-Slightly Agree 35. Spends adequate time with me.

3-Slightly Disagree 36. Delegates effectively.

4-Neutral or Unknown 37. Gives me meaningful, useful and fair performance reviews.

Senior Management

Please give your opinions on the following statements in relation to the performance of the company's senior management team.

6-Agree 38. I feel comfortable with the senior management team at our company.

6-Agree 39. The senior management team appears competent to handle the job of running the company well.

5-Slightly Agree 40. The senior management team has kept us well informed about major changes in our company.

Comments

The following questions are optional. Your answers may be as long or short as you like.

41. The top 3 problems which need to be fixed at our company in general, and in my department specifically, are:

42. The top 3 things that are working well at our company that I want to make sure continue are:

43. Other recommendations or advice I have for our senior management team are:

Thank you for your time and feedback.

Your Code:	101 optional, e.g. 123
Date:	05/09/2001
Department:	Billing select one

1	2	3	4	5	6	7
Strongly Disagree	Disagree	Slightly Disagree	Neutral or Unknown	Slightly Agree	Agree	Strongly Agree

4-Neutral or Unknown	1.	An environment of open communication is encouraged at our company. above the level of my immediate manager.
4-Neutral or Unknown	2.	I feel free to communicate my ideas and concerns to managers
6-Agree	3.	On most work related matters, I can express my opinions openly and honestly.

2-Disagree	4.	I have received the training and personal development opportunities I need to do my job well.
4-Neutral or Unknown	5.	Equal opportunities are provided for all company employees to advance and grow.

6-Agree	6.	Teamwork and cooperation among departments are encouraged in working together to achieve company objectives.
6-Agree	7.	I feel involved in making decisions that affect our company.

4-Neutral or Unknown	8.	Deadlines for completion of my work are reasonable.
7-Strongly Agree	9.	Projects are adequately staffed in my department

3-Slightly Disagree	10.	Right now, morale at our company is good.
5-Slightly Agree	11.	Employee morale has improved in the past six months
3-Slightly Disagree	12.	If I received a job offer from another department in our company, I would take it.
3-Slightly Disagree	13.	I am likely to leave this company for work with another company in the next three months.
6-Agree	14.	The office facilities encourage a productive work environment.
5-Slightly Agree	15.	The office equipment we have at our company is sufficient to get our daily work done.

6-Agree	16.	Compared to what other companies offer in our geographic area for similar work, paid compensation is fair at our company.
6-Agree	17.	Compared to what other companies offer in our geographic area for similar work, benefits are fair at our company.
5-Slightly Agree	18.	My pay is better than what most other companies offer for similar work
2-Disagree	19.	Company employees are recognized and rewarded based on performance.

6-Agree	20.	I feel comfortable about the business propects of our company.
5-Slightly Agree	21.	I feel comfortable about the financial health of our company at this time.

6-Agree	22.	My department objectives are clearly defined.
2-Disagree	23.	Company values are clearly demonstrated and reinforced.

2-Disagree	24.	Conveys the results he or she expects of me.
3-Slightly Disagree	25.	Encourages me to be creative and innovative.
3-Slightly Disagree	26.	Allows me to use my own judgment and make decisions independently.
5-Slightly Agree	27.	Gives me good direction when I ask questions.
3-Slightly Disagree	28.	Listens to my ideas and concerns.
2-Disagree	29.	Helps me understand how I can advance myself within the company.
3-Slightly Disagree	30.	Gives me meaningful and honest feedback on how I perform my job.
3-Slightly Disagree	31.	Motivates me to do the best I can.
2-Disagree	32.	Treats me fairly and consistently.
2-Disagree	33.	Supports and backs me when needed.
5-Slightly Agree	34.	Champions issues to Senior Management.
5-Slightly Agree	35.	Spends adequate time with me.
3-Slightly Disagree	36.	Delegates effectively.
4-Neutral or Unknown	37.	Gives me meaningful, useful and fair performance reviews.

6-Agree	38.	I feel comfortable with the senior management team at our company.
6-Agree	39.	The senior management team appears competent to handle the job of running the company well.
5-Slightly Agree	40.	The senior management team has kept us well informed about major changes in our company.