Surveys | HRdownloads - Survey Architect - Previews...Employee Retention Strategy Survey 153 QUICK...
Transcript of Surveys | HRdownloads - Survey Architect - Previews...Employee Retention Strategy Survey 153 QUICK...
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EMPLOYEE SATISFACTION SURVEYS Employee Satisfaction Survey 2
Benefits Satisfaction Survey 18
Employee Engagement Survey 32
Human Resources Satisfaction Survey 41
Employee Motivation Survey 50
Salary Satisfaction Survey 53
PERFORMANCE AND DEVELOPMENT SURVEYS 360 Employee Feedback Survey 66
360 Manager Feedback Survey 77
Succession Plan Survey 79
Training Needs Survey 96
Employee Attitude Survey 99
HEALTH AND SAFETY SURVEYS Health and Safety Satisfaction Survey 114
Employee Pre-Risk Assessment Survey (Violence) 122
EMPLOYEE LIFECYCLE SURVEYS New Hire Satisfaction Survey 128
Exit Interview Survey 145
Employee Retention Strategy Survey 153
QUICK PULSE CHECK SURVEYS Holiday Party Planning Survey 177
Customer Satisfaction – Product-Specific Survey 179
Project Status Survey 181
Charity Event Planning Survey 183
Customer Satisfaction – Website Feedback Survey 185
BUSINESS INTELLIGENCE SURVEYS Customer Satisfaction Survey 186
Survey Architect - Previews
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Employee Satisfaction
Introduction
How long have you worked for the organization? A) Less than 1 year
B) 1 year to 3 years
C) 3 years to 5 years
D) 5 years to 10 years
E) More than 10 years
F) Prefer not to answer
Which of the following best describes your level of responsibility at the organization?
A) I do not have any supervisory duties
B) I supervise other employees
C) I am responsible for a department/area that does not include supervision over any other employees
D) I supervise both an area and other employees
E) I supervise supervisors/managers
Which of the following best describes the area or department you work in? A) Sales
B) Customer service
C) Warehousing/ manufacturing
D) Health and safety/ maintenance/ repair
E) Administration/ finance/ operations
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Employee Satisfaction
Senior Management or Owner Effectiveness
In my organization, the senior management demonstrates strong leadership skills.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Senior management communicates effectively so that employees understand the organization’s strategic goals.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Senior management generally understands the problems employees face in their jobs.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Senior management institutes practices and policies to ensure that the workplace is balanced and fair.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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Employee Satisfaction
Senior Management or Owner Effectiveness
Senior management is open and transparent about the future of the company. Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Please provide comments about the overall effectiveness of senior management in your company.
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Employee Satisfaction
Supervisor Effectiveness
My supervisor is an effective leader for my department/team. Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
My supervisor handles complaints and resolves questions directly. Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
My supervisor provides assistance, training, and guidance so that I can improve my performance.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
The job duties that I need to complete every day constitute a reasonable volume of work that I can accomplish within my shift so that overtime is not required.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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Employee Satisfaction
Supervisor Effectiveness
I understand what my supervisor expects from me and their expectations for my performance are reasonable.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
My supervisor is consistent in their dealings with all employees. Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Please provide any general comments about the effectiveness of your direct supervisor.
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Employee Satisfaction
Teamwork in the Organization
My team or department works well together, and we accomplish our assigned tasks.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
In my team, we are encouraged to exchange our ideas and opinions. Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
My team is invested in the organization and cooperates well with other departments in the organization.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
The morale in my team/department is good. Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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Employee Satisfaction
Teamwork in the Organization
Please provide any general comments about the effectiveness of your department/team.
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Employee Satisfaction
Recognition, Feedback, and Goal-Setting
My supervisor provides useful and constructive feedback to help me improve my performance.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
I am recognized and praised for the good work I do. Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
I am encouraged to participate in the goal-setting process in my organization. Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Employee performance evaluations are fair and consistent. Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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Employee Satisfaction
Recognition, Feedback, and Goal-Setting
Please provide any general comments about feedback and recognition at your organization.
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Employee Satisfaction
Job or Career Advancement Opportunities
I have room to grow professionally in my organization. Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
The organization encourages and supports my career development. Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
I can accomplish my career objectives by remaining with the organization. Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
The process used for promotions in my organization is fair and balanced. Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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Employee Satisfaction
Job or Career Advancement Opportunities
Please provide any general comments about job or career advancement opportunities.
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Employee Satisfaction
Work–Life Balance
My hours of work are agreeable. Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
My organization tries to make sure that I have a balance between my work and home life.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Please provide any general comments about work–life balance and how it could be improved.
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Employee Satisfaction
Compensation and Benefits
I am paid fairly for the work I do. Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
In my organization, work that exceeds performance expectations is rewarded adequately.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Please choose the statement below that best corresponds to your organization’s method of determining pay increases.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Please select the answer below that best summarizes your organization’s benefits program.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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Employee Satisfaction
Compensation and Benefits
Please provide any general comments about your organization’s compensation and benefits.
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Employee Satisfaction
Job Satisfaction
My job is meaningful and gives me a personal sense of satisfaction. Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
I feel challenged in my current role. Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
I feel confident in my job security as long as I complete my job duties to the best of my abilities.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
I feel that working conditions in my organization are healthy and safe for everyone.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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Employee Satisfaction
Job Satisfaction
I understand how my work directly contributes to the overall success of the organization.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
I am proud to work for this organization and would encourage others to work here.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
I rarely think about leaving the organization. Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Please provide any general comments about working conditions at your organization.
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Benefits Satisfaction
General Please evaluate the overall effectiveness of your company-provided benefits plan in meeting your needs.
Company benefits plans are easily understood. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The company does a good job of keeping employees informed of the total cost of salary and benefits provided as opposed to just salary.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The overall cost of benefits coverage is reasonable and affordable. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Claim and reimbursement forms are understandable and easy to file. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Benefits Satisfaction
General Please evaluate the overall effectiveness of your company-provided benefits plan in meeting your needs.
Reimbursement of insurance claims is received in a timely manner. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Someone is available to answer questions about benefits. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Benefits Satisfaction
Health Plan Please evaluate the overall effectiveness of the company provided health benefits.
The company-endorsed supplemental medical insurance plan meets my expectations.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The prescription coverage offered by the benefits plan is adequate and meets my expectations
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The vision care portion of the plan is suitable for my needs. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Extended health coverage such as psychologist, chiropractor, physiotherapist is/would be more beneficial for me than some of the other benefits provided.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Benefits Satisfaction
Health Plan Please evaluate the overall effectiveness of the company provided health benefits.
Access to an employee assistance plan is important to me.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
If there was one category of benefits to be enhanced, I would select health STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Benefits Satisfaction
Dental Plan Please evaluate the overall effectiveness of the company-provided dental benefits.
The company-endorsed dental plan meets my expectations. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Dental plan deductibles, if any, are reasonable. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Co-payments, if any, are reasonable. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Dental pre-determination costs are provided promptly. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Benefits Satisfaction
Dental Plan Please evaluate the overall effectiveness of the company-provided dental benefits.
If optional dental benefits were available, I would be willing to pay a small premium to enhance my plan.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
If there was one category of benefits to be enhanced, I would select dental. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Benefits Satisfaction
Life Insurance Please evaluate the overall effectiveness of the company-provided life insurance benefits.
Employee life insurance coverage is adequate. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Employee life insurance coverage is affordable. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Optional life insurance is important to me. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Dependent life insurance coverage is important to me. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Benefits Satisfaction
Life Insurance Please evaluate the overall effectiveness of the company-provided life insurance benefits.
Accidental death and dismemberment (AD&D) coverage offered through my employer meets my needs.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
If there was one category of benefits to be enhanced, I would select life insurance.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Benefits Satisfaction
Disability Insurance Please evaluate the overall effectiveness of the company-provided disability benefits.
The company disability insurance plans meet my expectations. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The premium cost for disability coverage is acceptable to me. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Disability benefits received, if applicable, were timely and met my expectations. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I have a good understanding of the benefits that would be provided if I ever have to claim for a disability.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Benefits Satisfaction
Disability Insurance Please evaluate the overall effectiveness of the company-provided disability benefits.
Disability benefits are not important to me. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I would like to see an employee fitness benefit or wellness program offered by my employer.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Benefits Satisfaction
Retirement Benefits Please evaluate the overall effectiveness of the company-provided retirement benefits.
The company-endorsed retirement savings/pension plan meets my expectations.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
There is enough flexibility with the retirement benefits that I feel I am in control of my retirement.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Retirement counselling or information provided through my employer has been very helpful in planning for the future.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I have a good understanding of the retirement savings/pension plans provided by my employer.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Benefits Satisfaction
Retirement Benefits Please evaluate the overall effectiveness of the company-provided retirement benefits.
I have a good understanding of the benefits I will receive upon retirement and what the projected monthly payment will be at that time.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I would prefer to reduce the coverage of health or dental benefits in exchange for additional retirement benefits.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Benefits Satisfaction
Paid Time Off Please evaluate the overall effectiveness of the company-provided benefits with regards to paid time off.
The vacation entitlement policy is reasonable and fair. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Paid time off for sick leave is adequate. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Paid time off for personal days/bereavement/emergencies is adequate. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
It is never an issue to take planned time off. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Benefits Satisfaction
Paid Time Off Please evaluate the overall effectiveness of the company-provided benefits with regards to paid time off.
There is enough flexibility in my job to allow me to achieve work-life balance. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I would prefer to reduce the coverage of health or dental benefits in exchange for additional paid days off.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Engagement
Organizational
How long have you worked for the organization?
My organization has a long-term purpose and direction. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I understand how my work directly contributes to the success of the organization.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Senior management understands the issues employees face. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Engagement
Organizational
Working conditions are safe. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I am proud to work at this company. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Engagement
Job-Specific
The expectations of me are reasonable and clear. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I have the materials, resources, and equipment I need in order to succeed at my job.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I know how I am evaluated and what is required to be successful within my role. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My hours of work are agreeable. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Engagement
Job-Specific
My job gives me personal satisfaction. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Engagement
Teamwork
My colleagues are supportive of the work that I do. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Everyone is treated fairly and consistently. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I have friends at work. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The morale in my team/department is good. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Engagement
Communication/ Feedback
I am encouraged to offer my opinions and feedback. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
In the last month, I have received positive feedback on my performance. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I am provided timely, useful, and constructive feedback to help improve my performance.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Organizational changes, successes, and challenges are clearly communicated. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Engagement
Communication/ Feedback
Commitments and promises made by the organization are kept. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Engagement
Growth
My job motivates me to do my best every day. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I am given opportunities to learn and grow. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The compensation I receive motivates me to perform at a high level. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I rarely consider leaving the organization to pursue other opportunities. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Engagement
Growth
I am encouraged to develop my skills. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Human Resources Satisfaction
Services Using the questions below, please give us your opinion on the overall effectiveness of the Human Resources Department.
HR responds quickly to my operational needs. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
HR works effectively in a reactive manner. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
HR works effectively in a proactive manner. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
HR is a valuable business partner. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Human Resources Satisfaction
Services Using the questions below, please give us your opinion on the overall effectiveness of the Human Resources Department.
Transactional services are attended to in a timely and accurate manner. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
HR provides useful strategic insight that creates an improved workplace. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The HR department offers fast, accurate, friendly, and knowledgeable services. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The HR department makes their services readily available. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Human Resources Satisfaction
Services Using the questions below, please give us your opinion on the overall effectiveness of the Human Resources Department.
The HR department handles all requests for information, services, and projects in a professional manner.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
HR provides useful and accurate legal advice. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
HR adds value to my department. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
HR provides expert advice on employment issues. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Human Resources Satisfaction
Services Using the questions below, please give us your opinion on the overall effectiveness of the Human Resources Department.
HR provides expert advice on health and safety. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
HR provides expert advice on employment legislation. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
HR provides expert advice on employee relations. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
HR provides expert advice on recruitment and selection. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Human Resources Satisfaction
Services Using the questions below, please give us your opinion on the overall effectiveness of the Human Resources Department.
HR provides expert advice on training and development. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
HR provides expert advice and accurate information regarding payroll functions, including various forms of leave, overtime, hours, and rate of pay.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
HR provides clear policies and procedures that assist in the effective management of the company.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
HR policies ensure a clear understanding by managers and staff of both their individual and corporate responsibilities.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Human Resources Satisfaction
Services Using the questions below, please give us your opinion on the overall effectiveness of the Human Resources Department.
HR policies are updated and revised in a timely manner to reflect changes in the workplace and legislation.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
HR employs effective hiring methodologies, and ensures that qualified and appropriate staff are provided to departments as required.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
HR ensures that staffing levels are appropriate. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
HR provides efficient and effective employee training, development, and new-hire orientation.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Human Resources Satisfaction
Services Using the questions below, please give us your opinion on the overall effectiveness of the Human Resources Department.
HR handles all disciplinary actions and terminations in a fair and consistent manner.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
HR ensures that employee benefits are reasonably priced, attractive, and easy to use.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Human Resources Satisfaction
Part II - Qualitative Employee Benefit Satisfaction Survey Please answer the following questions honestly and to the best of your ability.
What can the (Company Name) HR department do to make your employment more satisfying?
What additional services would you like to see?
Do you feel the (Company Name) HR department listens to employee needs and reacts appropriately?
Should Human Resources provide more comprehensive health and wellness promotion?
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Human Resources Satisfaction
Part II - Qualitative Employee Benefit Satisfaction Survey Please answer the following questions honestly and to the best of your ability.
Is there anything else that you believe needs change or to improve in Human Resources?
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Employee Motivation
Years of Service
Please select the checkbox which indicates your years of service with the Company.
Less than one year of service
More than one year and less than three years
More than three years and less than five years
More than five years and less than ten years
More than ten years and less than fifteen years
More than fifteen years
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Employee Motivation
Motivation
Please choose three of the items on the list that motivate you the most to complete work. If the items are not on the list, you may add them in the space provided, along with any comments.
Work that is satisfying
Work that is stimulating/ challenging/ interesting
Completing tasks
Performing tasks that are meaningful
The chance to offer suggestions for improvements/ being consulted
Observing visible progress in the completion of assigned duties
Job security/safety
Feeling like the work you do is noticed by management
Verbal and/or written recognition among peers and/or management
The mission of (Company Name)
Yearly salary
Monetary (cash) rewards/merit bonuses
Health/dental benefits
Days off with pay
Loyalty to (Company Name)
Loyalty to other employees/team dynamics
A climate of trust in the workplace
Opportunity for advancement
Status (job title, etc.)
Interpersonal support for problems/issues
Fair/unbiased decision-making
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Employee Motivation
Motivation
Please choose three of the items on the list that motivate you the most to complete work. If the items are not on the list, you may add them in the space provided, along with any comments. (Continued)
Clear goals
Fear of being reprimanded
Autonomy/ability to make judgement calls
Clear expectations and directives provided by management
Competitiveness
Satisfying the customer/supplier/client
Adequate resources (technical support, tools to adequately perform the tasks)
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Salary Satisfaction
Job Information
What is your job title?
How many employees work at your location?
Population of area(s) serviced:
Total number of clients managed at your location:
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Salary Satisfaction
Job Information
Total number of job titles at your location:
Number of employees in each job title:
Total funding received (government sources):
Total funding received (fundraising):
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Salary Satisfaction
Job Information
Does your location provide cost-of-living allowances or scheduled increases?
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Salary Satisfaction
Benefits Information Are Benefits paid by the Organization, or employer/employee shared cost? Please provide details.
How are you paid?
Amount of life insurance. Please specify in the space provided.
Rx drug plan: Yes
No
Co-insurance amount. Please specify in the space provided.
Deductible group. Please specify in the space provided.
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Salary Satisfaction
Benefits Information Are Benefits paid by the Organization, or employer/employee shared cost? Please provide details.
Life or yearly maximum. Please specify in the space provided.
Vision care: Yes
No
Rx glasses: Yes
No
Rx glasses amount. Please specify in the space provided.
Dental plan: Yes
No
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Salary Satisfaction
Benefits Information Are Benefits paid by the Organization, or employer/employee shared cost? Please provide details.
ODA schedule: Year
Current
Restorative: Yes
No
Restorative amount. Please specify in the space provided.
Ortho: Yes
No
Ortho amount. Please specify in the space provided.
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Salary Satisfaction
Benefits Information Are Benefits paid by the Organization, or employer/employee shared cost? Please provide details.
Ortho maximum. Please specify in the space provided.
Sickness and accident: Yes
No
Weekly amount. Please specify in the space provided.
Maximum number of weeks. Please specify in the space provided.
LTD: Yes
No
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Salary Satisfaction
Benefits Information Are Benefits paid by the Organization, or employer/employee shared cost? Please provide details.
Maximum monthly amount. Please specify in the space provided.
Pension:
Type (defined or contributory benefit):
Company contribution:
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Salary Satisfaction
Benefits Information Are Benefits paid by the Organization, or employer/employee shared cost? Please provide details.
Employee contribution:
Unreduced pension at age:
Unreduced pension at years of service:
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Salary Satisfaction
Employee Job Profiles
Job title:
Yearly salary:
Hourly salary:
Benefits / non-cash compensation received:
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Salary Satisfaction
Employee Job Profiles
Do employees pay towards the cost of benefit plans? Yes
No
How much per week or month?
Which benefits do they pay towards?
Please select type:
Duration of tenure in current job title:
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Salary Satisfaction
Employee Job Profiles
How much per week or month?
Which benefits do they pay towards?
Please select type:
Duration of tenure in current job title:
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Salary Satisfaction
Employee Job Profiles
Highest level of education completed:
Licences, diplomas, professional designations, or certifications held:
Number of vacation days allotted:
Comments
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360 Feedback
Employee’s Information
Employee’s Name:
Title:
Supervisor’s Name:
Date of Review:
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360 Feedback
Leadership
Motivates me and fellow employees. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Shows a consistent approach to issues. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Can be persuasive and inspiring. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Is fair and impartial. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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People/Performance Management
Establishes clear performance expectations. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Handles performance issues directly and tactfully. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Delegates responsibilities. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Gives appropriate authority and responsibility. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Communication
Communicates clearly and consistently. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Delivers both good and bad news directly. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Listens well. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Coaching and Development
Provides coaching and guidance on a regular basis. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Shows a good understanding of my challenges. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Recognizes both my strengths and weaknesses. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Rewards hard work and positive results. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Coaching and Development
Creates clear development goals. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Gives attention to questions and suggestions. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Innovation
Supports the ideas of others. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Encourages innovation. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Allows for differences in approach and style. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Interpersonal Skills
Seeks out constructive criticism. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Is approachable. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Is flexible and open-minded. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Works well with others. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Dependability
Completes work and meets commitments. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Accepts accountability. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Stays focused under pressure. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Problem Solving/Analysis
Can simplify and process complex issues. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Understands the difference between critical details and unimportant facts. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Considers multiple solutions. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Expertly handles obstacles. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Planning and Goal Setting
Aligns plans with company goals. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Balances short- and long-term goals. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Develops challenging yet realistic plans. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Plans for and manages resources. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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360 Manager Feedback
Leadership Please comment on the overall effectiveness of your direct Manager based on your personal dealings with him/her. You can select one or more options of those given to support your comments.
My supervisor is an effective leader for our department/team: Provide training on communication, leadership and management skills for all managers/supervisors in the organization.
Communicate goals and results for all levels of the organization so that workers can see managers/supervisors are held accountable for achieving results.
Provide workers with an opportunity to give feedback on their supervisor as part of the performance evaluation process.
My supervisor handles complaints and resolves problems effectively: Increase communication between employees and supervisor to ensure issues are managed in a timely manner.
Provide supervisors with training on effective conflict resolution to effectively deal with issues before they escalate.
Implement tools to assist with effective coaching technique.
My supervisor has enough authority to make changes that impact our department/team and considers employees' suggestions:
Identify where the lack of decision-making authority is causing issues. Procedures may be too restrictive to allow for efficient and effective problem-solving.
Empower supervisors to make more decisions and encourage employee input to increase commitment to plans.
Introduce an employee suggestion box to solicit ideas from employees. A reward for the best idea of the month or quarter often increases participation.
My supervisor provides assistance, training and guidance so that I can improve my performance:
Implement tools to assist with effective coaching techniques.
If employees feel that more training is required, conduct a needs assessment to identify gaps and offer appropriate training to improve performance.
Suggest that supervisors promote an 'open door' policy so that employees feel comfortable asking for help.
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Leadership Please comment on the overall effectiveness of your direct Manager based on your personal dealings with him/her. You can select one or more options of those given to support your comments.
My supervisor's expectations for me are reasonable: Implement procedures for supervisors to work with HR or higher level management when dealing with employee performance issues to ensure consistency.
Implement tools for use in coaching and performance management that will ensure consistency within the team and throughout the organization.
Provide workers with an opportunity to give feedback on their supervisor as part of the performance evaluation process to identify issues and seek timely resolutions.
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Succession Plan
Employee Information
Gender (Please check one):
Age (please select the most appropriate choice):
Length of employment at (Company Name):
How long have you been in your current position?
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Education These questions measure the current and future levels of education.
Please check all forms of education completed: Grade school (grades 1-8)
High school diploma / GED
Vocational training
Some college
Two-year college degree
Four-year college degree
University degree
Master's degree
Doctoral degree
Professional degree
Other (please specify in the space provided)
Have you considered pursuing additional training or education? If yes, what form of training or education would you like to pursue and why? Please specify in the space provided.
Yes
No
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Appeal of Leadership at (Company Name) Please evaluate the following statements
My role is dynamic, and provides new and satisfying challenges. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My current role provides me with a high level of job satisfaction. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The workplace culture promotes, recognizes, and rewards success. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The workplace is a collegial and team-oriented environment. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Appeal of Leadership at (Company Name) Please evaluate the following statements
I would like to take a leadership or management position. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
(Company Name) is involved in community and charity. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Motivation Please indicate which of the following factors provide motivation to advance and/or continue your career progression within (Company Name).
Compensation. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Benefits. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Higher levels of responsibility. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Ability to increase decision-making abilities. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Factors Impeding Career Advancement Please indicate which of the following factors create impediments or barriers in the advancement and/or continuation of your career within (Company Name).
Restrictive policies and procedures. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Lack of necessary educational or training requirements. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Lack of available resources for training or development. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Job evaluation. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Factors Impeding Career Advancement Please indicate which of the following factors create impediments or barriers in the advancement and/or continuation of your career within (Company Name).
Time and demands of responsibility. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Personal priorities. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Stress. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Management. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Factors Impeding Career Advancement Please indicate which of the following factors create impediments or barriers in the advancement and/or continuation of your career within (Company Name).
I do not have time to attend training/development activities. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I am not aware of information regarding training/development activities. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The training/development activities that I want are unavailable. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Other (Please Specify):
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Mobility Please answer the following questions in the appropriate format
Do you plan on retiring from active duty at (Company Name)?
When do you plan on retiring?
In the next three (3) years, do you see yourself leaving (Company Name) for any reason other than retirement?
If you answered “Yes” or “Possibly” to the previous question, please indicate which of the following options correspond to your future work preferences or endeavours.
Seek a management role
Seek a senior leadership role
Move to a different town/city
Change of career
Attend school full-time
Retirement
Other (please specify):
If “Other”, please specify:
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Personal Satisfaction Are you happy in your current role? Do you see yourself at the company long term? Is there a clear path for career progression? Are you paid properly for your work?
I enjoy the day-to-day activities of performing my job. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I see myself at (Company Name) long-term. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I am efficient in performing my job. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The work I produce is high-quality. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Personal Satisfaction Are you happy in your current role? Do you see yourself at the company long term? Is there a clear path for career progression? Are you paid properly for your work?
I have to go through a lot of 'red tape' to get my job done. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My job gives me a personal sense of satisfaction. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Our company does a good job of meeting my needs as an individual. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Overall, I am satisfied with this organization. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Personal Satisfaction Are you happy in your current role? Do you see yourself at the company long term? Is there a clear path for career progression? Are you paid properly for your work?
I have a clear path towards job progression. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I have clear expectations and understanding of my job duties and what is required of me.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I receive proper praise and recognition when I perform my job beyond expectations.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Compensation and Opportunities Does the company pay you adequately? Is there opportunity for long term career progression? Do you understand your pay rise procedure? Are there clear benchmarks towards career progression?
I am paid fairly for the work I do. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I understand how my pay is determined. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I am satisfied with how pay raises are determined. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I feel that the benefits package I receive at (Company Name) is fair and competitive.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Compensation and Opportunities Does the company pay you adequately? Is there opportunity for long term career progression? Do you understand your pay rise procedure? Are there clear benchmarks towards career progression?
In comparison with other people in similar jobs at (Company Name), I feel my pay is adequate.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Qualified employees are usually allowed to transfer to better jobs. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The individuals who do receive promotions usually deserve them. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I can be sure of a job with (Company Name) as long as I do good work. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Compensation and Opportunities Does the company pay you adequately? Is there opportunity for long term career progression? Do you understand your pay rise procedure? Are there clear benchmarks towards career progression?
There is an opportunity for long-term career progression. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I have the chance to achieve my goals at work. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Short Answer Questions Please answer the following questions honestly and to the best of your ability.
What can the company do to make your job more satisfying?
What can the company do to support your career goals?
What tools, resources, and abilities can the company provide to make your job easier?
What forms of training, development, or succession planning programs would help you in the advancement of your career?
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Short Answer Questions Please answer the following questions honestly and to the best of your ability.
Do you feel that the company offers meaningful career development and progression opportunities? What can we do better?
What can the company do to ensure that you stay with us for the long term?
Would you recommend our company as an employer to your friends and family? Why or why not?
Is there anything else that you believe needs change or improvement in the company?
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Training Needs
Training Needs
List the training you have received from the company (regarding position, qualification, etc.).
In what areas do you feel you could use more training, either for your current position or to grow within the company.
Is there a new technique or program in your field that you think should be explored as a potential training opportunity
Are there skills that you had to learn on the job that (Company Name) could provide through training to new employees?
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Training Needs
Training Needs
What do you think is the most effective training delivery system and why?
Who do you think should be responsible for training delivery?
What generally are your goals when you attend training sessions?
What do you think makes a good training session?
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Training Needs
Training Needs
What do you think makes a bad training session?
How has (Company Name) supported you after training?
What do think (Company Name) could do to make training more effective?
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Employee Attitude
Fairness
My manager treats all his/her employees fairly. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The organization's policies for promotion and advancement are always fair. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Favouritism (special treatment) is not an issue in raises or promotions. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My manager is always consistent when administering policies concerning employees.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Fairness
I am always treated fairly by my manager. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Everybody is treated fairly in this organization. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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My work is rewarding. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My work is stimulating. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My work is challenging. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I have a mentor at work. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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I am encouraged to learn from my mistakes. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My manager encourages and supports my development. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I receive the training I need to do my job well. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Attitude
Opportunities for Growth
I have adequate opportunities for professional growth in this organization. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My manager is actively interested in my professional development and advancement.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Attitude
Work-Life Balance, Stress, and Work Pace
The environment in this organization supports a balance between work and personal life.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My manager understands the importance of maintaining a balance between work and personal life.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I am able to satisfy both my job and personal responsibilities. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I am not forced to choose between job and personal obligations. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Work-Life Balance, Stress, and Work Pace
The pace of the work in this organization enables me to do a good job.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The amount of work I am asked to do is reasonable. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The organization has reasonable expectations of its employees. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My job does not cause unreasonable amounts of stress in my life. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Attitude
Respect
I respect the senior leaders of this organization.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I respect my manager as a competent professional. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The leaders of this organization know what they are doing. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Our senior managers demonstrate strong leadership skills. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Attitude
Respect
I am satisfied with my manager.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My manager always treats me with respect. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My manager listens to what I'm saying. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
This organization respects its employees. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Attitude
Respect
My manager values my talents and the contribution I make. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The organization values the contribution I make. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My talent is valued at work. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My co-workers care about me as a person. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Attitude
Teamwork
Teamwork is encouraged and practiced in this organization. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
There is a strong feeling of teamwork and cooperation in this organization. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I like working with the other members of my work group. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
There is emphasis on teamwork in this organization. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Attitude
This organization has a real interest in the welfare and satisfaction of those who work here.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
This organization is a good place to work. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
People in this organization are treated with dignity and respect, regardless of their job level.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Management acts as if it believes that employees are this organization's most important asset.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Attitude
If a good friend were offered a job here, it is likely that I would tell him or her to take the job.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My work environment contributes to my ability to perform my job well. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Attitude
My company is a market leader. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Our products and services deliver on their promises. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I trust the decisions that company management makes. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I understand the decisions that upper management makes. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Attitude
Pride
I am happy to talk about my role to friends and family. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My role is important for the efficient functioning of the company. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I feel like a valuable member of my company. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Health and Safety Satisfaction
Employer Please comment on the overall impact of Management in regards to Health and Safety.
My employer visibly demonstrates an interest in the Health and Safety of employees.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My immediate supervisor makes Health and Safety a priority for all work including their own.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My department is flexible in adjusting work assignments according to employee safety considerations.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
If I have a concern about Health and Safety, and my supervisor is not available, I know whom to contact.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Health and Safety Satisfaction
Employer Please comment on the overall impact of Management in regards to Health and Safety.
My supervisor often observes my work practices for the purpose of protecting my Health and Safety.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My supervisor/department conducts periodic and effective safety meetings/checks.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Health and Safety Satisfaction
Training Please comment on the overall effectiveness of the Health and Safety Training efforts in your company.
The proper personal protective equipment PPE (I.e. safety glasses, gloves, etc.) for my job is always available.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The Health and Safety rules of this organization have been clearly explained to me.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The ongoing Health and Safety training program offered by my organization meets my needs.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I know what to do in case of an emergency (i.e. fire, tornado, chemical spill, etc.). STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Health and Safety Satisfaction
Training Please comment on the overall effectiveness of the Health and Safety Training efforts in your company.
All new employees are properly trained in Health and Safety rules and work practices.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Safe operating procedures (SOP's) for using equipment/machines are reviewed and revised as necessary.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Health and Safety Satisfaction
Joint Health and Safety Committee/Representative Please comment on the overall effectiveness of the Health and Safety reporting processes in your company.
Identified Health and Safety concerns or hazards are addressed or corrected in a timely manner.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Workplace accidents and/or near misses are always reported. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The Health and Safety Committee is an active and results- oriented group. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I know the name of my organization's safety coordinator and how I can contact him or her.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Health and Safety Satisfaction
Joint Health and Safety Committee/Representative Please comment on the overall effectiveness of the Health and Safety reporting processes in your company.
Reported concerns and hazards are communicated to minimize the opportunity for repeat incidents.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
If I saw another employee committing an unsafe practice, I would say something directly to him or her.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Health and Safety Satisfaction
Employee Please comment on the overall effectiveness of the Health and Safety efforts in your company.
I report every workplace injury or illness to my supervisor that I sustain, regardless of severity.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Health and Safety is a high priority when I am performing my job responsibilities. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I have opportunities to provide input into the Health and Safety program. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Health and Safety inspections of my work area/department are conducted at regular intervals.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Health and Safety Satisfaction
Employee Please comment on the overall effectiveness of the Health and Safety efforts in your company.
Rewards and positive feedback are implemented adequately and consistently to achieve H&S goals and increase Health and Safety awareness levels.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My opinion is sought when H&S controls are being implemented, adapted or considered.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Comments about the overall effectiveness of Health and Safety Programs in your company.
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Pre Risk Assessment
Pre-Risk Assessment Please be sure to report all incidents of violence and/or aggression in the workplace by completing an incident report.
Please state the department you work in:
Please state your role at the company:
Have you personally experienced the following at (Company Name)? Please check all that apply.
Assault
Harassment
Near miss
Physical attack
Sexual abuse
Sexual assault
Threat
Verbal abuse
I have not personally experienced any of the above
Comments
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Pre Risk Assessment
Pre-Risk Assessment Please be sure to report all incidents of violence and/or aggression in the workplace by completing an incident report.
Have you personally witnessed the following at (Company Name). Please check all that apply.
Assault
Harassment
Near miss
Physical attack
Sexual abuse
Sexual assault
Threat
Verbal abuse
I have not personally experienced any of the above
If you have experienced or been witness to any of the above, have you lost time from work as a result?
Do you feel physically safe at (Company Name)?
Are you prepared to handle a violent situation or threat or be responsive to escalating behaviours exhibited by co-workers/others while at work?
Yes
No
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Pre Risk Assessment
Pre-Risk Assessment Please be sure to report all incidents of violence and/or aggression in the workplace by completing an incident report.
If you have experienced or witnessed violence, threats or aggression, who initiated the incidents?
Visitors
Family
Staff
Volunteer
Contractor
I have not experienced/ witnessed the above
Have you read the (Company Name) Workplace Anti-Violence Policy? Yes
No
Do you know where to find the (Company Name) Workplace Anti-Violence Policy?
Yes
No
Have we provided you with every necessary control and measure to protect your safety at work? If no, please complete what could we do in the space provided.
Yes
No
Comments
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Pre Risk Assessment
Pre-Risk Assessment Please be sure to report all incidents of violence and/or aggression in the workplace by completing an incident report.
Are there any improvements required in the following areas that would make your workplace safer?
Lighting
Secure restrooms
Secure parking lot
Restricted public access to work areas on your unit
Cameras
Communication of care plan
Flagging of violent patients
Other (please specify in the space provided)
How would you rate the quality of information about the security devices in our workplace?
Excellent
Very Good
Good
Poor
Very Poor
I have not been given any information about security devices
Comments
Comments
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Pre Risk Assessment
Pre-Risk Assessment Please be sure to report all incidents of violence and/or aggression in the workplace by completing an incident report.
Have any of the following safety supports been offered to you when you have raised a concern for your safety and/or as part of a post incident plan? (check all that apply).
The assistance of a buddy to escort you on/off property
The assistance of a security guard to escort you on/off property
The assistance of police support in high risk situations
A personal alarm when needed
Timely assistance when you request it
EAP support for staff directly or indirectly involved in the events of workplace violence
Other (please specify in the space provided)
Are you aware that (Company Name) can work with you to create a plan to ensure your personal safety at work should there be potential for domestic violence to occur at the workplace?
Yes
No
If you witnessed or experienced workplace violence, were you offered the opportunity to express your thoughts about the incident and to learn about normal stress reactions and available services through debriefing or counseling?
Do you know how to report an incidence of violence, threat or aggression and who to report it to?
Yes
No
Are you required to report threats, violence and aggression? Yes
No
Comments
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Pre Risk Assessment
Pre-Risk Assessment Please be sure to report all incidents of violence and/or aggression in the workplace by completing an incident report.
Are you aware that the Occupational Health and Safety Act places a legal obligation on a worker to report the existence of violence hazards?
Yes
No
Can you report violence hazards without the fear of reprisal? Yes
No
Does the supervisor or manager of the unit investigate incidents without undue delay?
Yes
No
Does the supervisor or manager of the unit take suitable corrective action without undue delay?
Yes
No
When an incident of workplace violence has resulted in you seeking medical attention or losing time from work, has (Company Name) reported the incident to WSIB?
What controls, measures and procedures could be taken to make your workplace safer?
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New Hire
Organizational New employees must judge the overall effectiveness of the company. Does your company look out for the new employees? Are you proud to work at (Company Name)? Would you recommend working at (Company Name)?
I have been well-received into the company, and made to feel like part of the team.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
In my judgement, this organization is well-managed. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Orientation provided a strong impression of the company and provided useful information.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Comments
Comments
Comments
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Organizational New employees must judge the overall effectiveness of the company. Does your company look out for the new employees? Are you proud to work at (Company Name)? Would you recommend working at (Company Name)?
Training was informative and relevant. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Management is interested in the welfare of its employees. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I feel management generally understands the problems we face in our jobs. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Comments
Comments
Comments
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Organizational New employees must judge the overall effectiveness of the company. Does your company look out for the new employees? Are you proud to work at (Company Name)? Would you recommend working at (Company Name)?
I am proud to work for (Company Name). STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My job duties have been clearly defined, and are appropriate. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I would recommend employment at (Company Name) to my friends. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Comments
Comments
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Supervisor Evaluation Please evaluate your direct supervisor based on your personal dealings with him/her. Does the supervisor act ethically and fairly in day to day operations? Are deadlines met consistently? Does your supervisor lead by example and provide guidance for you?
I am satisfied with my supervisor. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My supervisor is consistent in his/her dealings with all of us. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My supervisor listens to our suggestions and problems. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Comments
Comments
Comments
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Supervisor Evaluation Please evaluate your direct supervisor based on your personal dealings with him/her. Does the supervisor act ethically and fairly in day to day operations? Are deadlines met consistently? Does your supervisor lead by example and provide guidance for you?
My supervisor gives me credit for work well done. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I feel free to express my honest opinions to my supervisor. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My supervisor has confidence and trust in my abilities. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Comments
Comments
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Supervisor Evaluation Please evaluate your direct supervisor based on your personal dealings with him/her. Does the supervisor act ethically and fairly in day to day operations? Are deadlines met consistently? Does your supervisor lead by example and provide guidance for you?
My supervisor encourages me and my colleagues to give their best effort. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My supervisor provides me with adequate help, training, and guidance so that I can improve my performance.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I have trust and confidence in my supervisor. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Comments
Comments
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Supervisor Evaluation Please evaluate your direct supervisor based on your personal dealings with him/her. Does the supervisor act ethically and fairly in day to day operations? Are deadlines met consistently? Does your supervisor lead by example and provide guidance for you?
I am satisfied with how my supervisor takes care of complaints. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My supervisor expects too much from me. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My supervisor has enough authority to make changes for the better. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Comments
Comments
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Supervisor Evaluation Please evaluate your direct supervisor based on your personal dealings with him/her. Does the supervisor act ethically and fairly in day to day operations? Are deadlines met consistently? Does your supervisor lead by example and provide guidance for you?
My supervisor is a good listener. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Personal Satisfaction Please evaluate your overall satisfaction. Are you happy in your current role? Do you see yourself at the company long term? Is there a clear path for career progression? Are you paid properly for your work?
I enjoy the day-to-day activities of performing my job. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I see myself at this company long-term. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I am efficient in performing my job. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Personal Satisfaction Please evaluate your overall satisfaction. Are you happy in your current role? Do you see yourself at the company long term? Is there a clear path for career progression? Are you paid properly for your work?
The work I produce is high-quality. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I have to go through a lot of 'red tape' to get my job done. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My job gives me a personal sense of satisfaction. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Comments
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Personal Satisfaction Please evaluate your overall satisfaction. Are you happy in your current role? Do you see yourself at the company long term? Is there a clear path for career progression? Are you paid properly for your work?
I have a clear path towards job progression. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Our company does a good job of meeting my needs as an individual. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Overall, I am satisfied with this organization. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Personal Satisfaction Please evaluate your overall satisfaction. Are you happy in your current role? Do you see yourself at the company long term? Is there a clear path for career progression? Are you paid properly for your work?
I have clear expectations and understanding of my job duties and what is required of me.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I receive proper praise and recognition when I perform my job beyond expectations.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Compensation and Opportunities Does the company pay you adequately? Is there opportunity for long term career progression? Do you understand your pay raise procedure? Are there clear benchmarks towards career progression?
I am paid fairly for the work I do. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I understand how my pay is determined. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I am satisfied with how pay raises are determined. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Compensation and Opportunities Does the company pay you adequately? Is there opportunity for long term career progression? Do you understand your pay raise procedure? Are there clear benchmarks towards career progression?
I feel that the benefits package offered by [company name] is attractive. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I can be sure of a job with (Company Name) as long as I do good work. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
There is an opportunity for long-term career progression. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Compensation and Opportunities Does the company pay you adequately? Is there opportunity for long term career progression? Do you understand your pay raise procedure? Are there clear benchmarks towards career progression?
I have the chance to achieve my goals at work. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Working Conditions Please rate your working conditions. Are working conditions safe? Are you overworked? Are the hours of work agreeable?
The hours of work are agreeable. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Working conditions around my job are good. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The workload is fairly distributed. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Working Conditions Please rate your working conditions. Are working conditions safe? Are you overworked? Are the hours of work agreeable?
Work is well-organized at (Company Name). STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Too much work is expected of employees in my area. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Working conditions here are safe. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Exit Interview
Organizational Details
Please enter your name:
What is your role in our organization?
How long have you been employed with our company?
A) Less than 1 year
B) 1-5 years
C) 6-10 years
D) 11-20 years
E) More than 20 years
F) Prefer Not To Answer
In the space provided below, please explain your reasons for leaving your current
position.
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Job Duties
Were you satisfied with the job duties you were required to perform in your position?
Extremely satisfied
Satisfied
Neither satisfied or dissatisfied
Dissatisfied
Extremely dissatisfied
Do you feel you received enough training to perform your duties effectively?
What would you change about your job?
Do you feel that your job contributed to the company’s success?
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Opportunities for Advancement
Were you satisfied with the opportunities for career advancement within our
organization?
Extremely satisfied
Satisfied
Neither satisfied or dissatisfied
Dissatisfied
Extremely dissatisfied
Do you feel the organization made the best use of your knowledge and skills?
Was your performance or advancement hindered by any company policies or
procedures?
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Exit Interview
Compensation and Benefits
Please indicate your level of satisfaction with the following components of our
compensation and benefits package.
Extremely satisfied Satisfied Neither Satisfied
or dissatisfied Dissatisfied Extremely Dissatisfied
Salary or wages
Short or long-term disability
Sick time
Vacation time
Dental benefits
RRSP pension plan
Extended health benefits
Commissions
Bonuses, profit-sharing, merit pay
Stock options
Salary or wages
Sick time
Please provide any suggestions you have for improving the company’s compensation and benefits package.
Do you feel you were appropriately recognized or rewarded for the work
accomplishments or contributions you made while working for our company?
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Exit Interview
Relationships with Supervisors and Co-workers
Were you satisfied with your supervisor or quality of supervision?
Extremely satisfied
Satisfied
Neither satisfied or dissatisfied
Dissatisfied
Extremely dissatisfied
Please expand on your level of satisfaction with your supervisor or the quality of
supervision.
How could your supervisor improve their leadership style?
How would you rate your level of satisfaction regarding your relationships with your co-
workers?
Extremely satisfied
Satisfied
Neither satisfied or dissatisfied
Dissatisfied
Extremely dissatisfied
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Exit Interview
Relationships with Supervisors and Co-workers
Please provide any suggestions you have for improving the company’s compensation
and benefits package.
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Exit Interview
Working Conditions
Please rate your level of satisfaction with your working conditions. (For example, the
physical environment, physical demands, hours of work, workload.)
Extremely satisfied
Satisfied
Neither satisfied or dissatisfied
Dissatisfied
Extremely dissatisfied
Please explain your level of satisfaction with your working conditions.
Are there any working conditions at this company that you feel are detrimental? Please
explain your answer in the space provided.
Please provide suggestions for improving the working conditions in our company.
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Exit Interview
Conclusion
Overall, how would you rate your level of satisfaction working for our organization.
Extremely satisfied
Satisfied
Neither satisfied or dissatisfied
Dissatisfied
Extremely dissatisfied
Please provide any additional comments you have about your experience with our
company.
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Employee Retention
Company Employees must judge the overall effectiveness of the company. Does your company look out for the employees? Are you proud to work at (Company Name)? Would you recommend working at (Company Name)?
Management is interested in the welfare of its employees. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
This organization is well managed. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I feel management generally understands the problems we face in our jobs. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Company Employees must judge the overall effectiveness of the company. Does your company look out for the employees? Are you proud to work at (Company Name)? Would you recommend working at (Company Name)?
I am proud to work for (Company Name). STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I would recommend employment at (Company Name) to my friends. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
This survey is a good way to find problems that need to be solved. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Departmental Effectiveness Does your department complete work on time and to the expected level? How does your department deal with challenges and tasks? Is communication effective between department employees?
My department's overall performance and effectiveness are good. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My work department makes good decisions and solves problems well. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
There is cooperation between my department and other departments. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Departmental Effectiveness Does your department complete work on time and to the expected level? How does your department deal with challenges and tasks? Is communication effective between department employees?
I have confidence and trust in my departmental co-workers. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My department produces the amount of work that is expected. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My department is encouraging and works together as a team. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Departmental Effectiveness Does your department complete work on time and to the expected level? How does your department deal with challenges and tasks? Is communication effective between department employees?
The exchange of ideas and opinions is encouraged in our department. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My department is efficient in doing its required work. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My department plans and co-ordinates work effectively. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Departmental Effectiveness Does your department complete work on time and to the expected level? How does your department deal with challenges and tasks? Is communication effective between department employees?
People in my work area work well together. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The department morale is good. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The people I work with help each other out when someone falls behind. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Supervisor Evaluation Please evaluate your direct supervisor based on your personal dealings with him/her. Does the supervisor act ethically and fairly in day to day operations? Are deadlines met consistently? Does your supervisor lead by example? and provide guidance for you?
I am satisfied with my supervisor. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My supervisor is consistent in his/her dealings with all of us. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My supervisor listens to our suggestions and problems. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Retention
Supervisor Evaluation Please evaluate your direct supervisor based on your personal dealings with him/her. Does the supervisor act ethically and fairly in day to day operations? Are deadlines met consistently? Does your supervisor lead by example? and provide guidance for you?
My supervisor gives me credit for work well done. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I feel free to express my honest opinions to my supervisor. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My supervisor has confidence and trust in my abilities. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Supervisor Evaluation Please evaluate your direct supervisor based on your personal dealings with him/her. Does the supervisor act ethically and fairly in day to day operations? Are deadlines met consistently? Does your supervisor lead by example? and provide guidance for you?
My supervisor encourages me and my colleagues to give their best effort. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My supervisor provides me with adequate help, training, and guidance so that I can improve my performance.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I have trust and confidence in my supervisor. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Supervisor Evaluation Please evaluate your direct supervisor based on your personal dealings with him/her. Does the supervisor act ethically and fairly in day to day operations? Are deadlines met consistently? Does your supervisor lead by example? and provide guidance for you?
I am satisfied with how my supervisor takes care of complaints. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My supervisor expects too much from me. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My supervisor has enough authority to make changes for the better. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Supervisor Evaluation Please evaluate your direct supervisor based on your personal dealings with him/her. Does the supervisor act ethically and fairly in day to day operations? Are deadlines met consistently? Does your supervisor lead by example? and provide guidance for you?
My supervisor is a good listener. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Personal Satisfaction Please evaluate your overall satisfaction. Are you happy in your current role? Do you see yourself at the company long term? Is there a clear path for career progression? Are you paid properly for your work?
I enjoy the day-to-day activities of performing my job. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I see myself at this company long-term. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I am efficient in performing my job. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Personal Satisfaction Please evaluate your overall satisfaction. Are you happy in your current role? Do you see yourself at the company long term? Is there a clear path for career progression? Are you paid properly for your work?
The work I produce is high-quality. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I have to go through a lot of 'red tape' to get my job done. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
My job gives me a personal sense of satisfaction. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Personal Satisfaction Please evaluate your overall satisfaction. Are you happy in your current role? Do you see yourself at the company long term? Is there a clear path for career progression? Are you paid properly for your work?
I have a clear path towards job progression. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Our company does a good job of meeting my needs as an individual. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Overall, I am satisfied with this organization. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Personal Satisfaction Please evaluate your overall satisfaction. Are you happy in your current role? Do you see yourself at the company long term? Is there a clear path for career progression? Are you paid properly for your work?
I have clear expectations and understanding of my job duties and what is required of me.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I receive proper praise and recognition when I perform my job beyond expectations.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Compensation and Opportunities Does the [company] pay you adequately? Is there opportunity for long term career progression? Do you understand your pay rise procedure? Are there clear benchmarks towards career progression?
I am paid fairly for the work I do. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I understand how my pay is determined. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I am satisfied with how pay raises are determined. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Compensation and Opportunities Does the [company] pay you adequately? Is there opportunity for long term career progression? Do you understand your pay rise procedure? Are there clear benchmarks towards career progression?
I feel that the benefits package I receive from (Company Name) is fair and competitive.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
In comparison with other people in similar jobs at (Company Name), I feel my pay is adequate.
STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Qualified employees are usually allowed to transfer to better jobs. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Compensation and Opportunities Does the [company] pay you adequately? Is there opportunity for long term career progression? Do you understand your pay rise procedure? Are there clear benchmarks towards career progression?
The individuals who do receive promotions usually deserve them. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
I can be sure of a job with (Company Name) as long as I do good work. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
There is an opportunity for long-term career progression. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Compensation and Opportunities Does the [company] pay you adequately? Is there opportunity for long term career progression? Do you understand your pay rise procedure? Are there clear benchmarks towards career progression?
I have the chance to achieve my goals at work. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Working Conditions Please rate your working conditions. Are working conditions safe? Are you overworked? Are the hours of work agreeable?
The hours of work are agreeable. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Working conditions around my job are good. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
The workload is fairly distributed. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Retention
Working Conditions Please rate your working conditions. Are working conditions safe? Are you overworked? Are the hours of work agreeable?
Work is well organized at (Company Name). STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Too much work is expected of employees in my area. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
Working conditions here are safe. STRONGLY AGREE- Consistently exceeds expectations
AGREE- Often exceeds expectations
NEITHER AGREE NOR DISAGREE- Performs at a satisfactory level
DISAGREE- Occasionally fails to meet expectations
STRONGLY DISAGREE- Consistently fails to meet expectations
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Employee Retention
Part II Qualitative Employee Satisfaction Survey Please answer the following questions honestly and to the best of your ability.
What can (Company Name) do to make your job more satisfying?
What can (Company Name) do to support your career goals?
Does (Company Name) meet your expectations as an employer?
What tools, resources, and abilities can (Company Name) provide to make your job easier?
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Employee Retention
Part II Qualitative Employee Satisfaction Survey Please answer the following questions honestly and to the best of your ability.
Do you feel that (Company Name) listens to employees and reacts appropriately?
Do you feel that (Company Name) offers meaningful career development and progression opportunities? What can we do better?
Are there any aspects of work at (Company Name) that cause you to consider leaving?
What can (Company Name) do to ensure that you stay with us for the long term?
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Employee Retention
Part II Qualitative Employee Satisfaction Survey Please answer the following questions honestly and to the best of your ability.
Would you recommend (Company Name) as an employer to your friends and family? Why or why not?
Is there anything else that you believe needs change or improvement in the company?
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Holiday Party Planning
Holiday Party Planning Please fill out the following questions. Your feedback is appreciated!
How likely would you be to attend a staff holiday party? Count me in!
Very likely
Somewhat likely
I would not attend
Where would you like the holiday party to be held? In the workplace
At an external venue, such as a banquet hall
At a restaurant
A place where employees can participate in an activity or sporting event
How much would you be willing to pay for a ticket to a holiday party? The cost of the ticket would cover the meal, the rental of the venue, and small door prizes.
$0
$1 to $10
$11 to $20
$21 to $30
$31+
Whom would you like included in the holiday party? Just company employees
Company employees and clients
Company employees plus one
Company employees and their family (plus one, and children)
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Holiday Party Planning
Holiday Party Planning Please fill out the following questions. Your feedback is appreciated!
Do you have any suggestions that would help us plan a fantastic holiday party? If so, please share them!
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Customer Satisfaction- Product Specific
Customer Satisfaction Please provide feedback on the item you purchased.
What product did you purchase?
How satisfied are you with the quality of the product you purchased? Extremely satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Extremely dissatisfied
How satisfied are you with the price? Extremely satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Extremely dissatisfied
Considering the experience you had today, would you buy a similar product here again?
Yes
No
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Customer Satisfaction- Product Specific
Customer Satisfaction Please provide feedback on the item you purchased.
Please provide any additional feedback you may have on the product.
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Project Status Survey
Project Status This survey will be used to gauge the current status of the project and determine possible impediments to its success.
Do you feel that you have been provided with the tools, resources, and information necessary to achieve your goals and objectives related to the project?
Yes
No
What do you feel is the largest hurdle facing the project? Inadequate allocation of personnel
Lack of knowledge or experience
Insufficient resources
Time constraints
Unrealistic goals or expectations
Other
There are no significant hurdles present
In your opinion, what is the probability that the project will be completed on time and within the established budget constraints?
Very high
High
Moderate
Low
Very low
Are you confident your team/unit/group/department can overcome any possible obstacles?
Yes
No
Unsure
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Project Status Survey
Project Status This survey will be used to gauge the current status of the project and determine possible impediments to its success.
Please share any additional feedback you have on the project.
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Charity Event Planning
Charity Event Planning Survey Please provide your input on charity events you would like to see our company support or organize.
Have you participated in any company-sponsored or organized charity events in the past?
What types of charity events would you like to see our company organize or support? Please select your three preferred options.
Run, walk, or other fitness activity
Car wash
Concert or talent show
Bake sale
Volunteering opportunities
Funding drive
Silent auction
Raffle
Team participation in a charity event
Other
Would you be willing to commit time to support a charity event outside of normal work hours?
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Charity Event Planning
Charity Event Planning Survey Please provide your input on charity events you would like to see our company support or organize.
Considering your work schedule and family or personal commitments, what days are best for you to participate in charity events? Please check all that apply.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Please provide any additional information that you feel will help us organize charity events.
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Customer Satisfaction- Website Feedback
Customer Satisfaction – Website Feedback Survey This quick survey will help us improve our website and provide our customers with an even better shopping experience.
How satisfied were you with the design and functionality of our website? Extremely satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Extremely dissatisfied
Were you able to quickly and easily find what you were looking for?
Did the website provide you with all of the information you were looking for (price, product details, availability, etc.)?
Considering your experience today, would you use our website again?
Please provide any additional input you feel may be helpful for improving our website. We appreciate your comments!
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Customer Satisfaction
Please take this brief survey to help us improve our products and services.
How likely are you to recommend (Company Name) to your friends and family?
0 10
Please rate your satisfaction with each of the following aspects of our products and services:
Very satisfied
Somewhat satisfied
Neither Satisfied or dissatisfied
Somewhat dissatisfied
Very dissatisfied
Your custom requests
Our company saving you time with your tasks and business processes
The quality of products and services available from our company
The quality of the product you purchased
Our pricing of products and services
The level of knowledge of our experts
The responsiveness of our customer service
How our customer service representatives answer your questions and requests
Our company as a strategic partner that provides you with complete solutions
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Customer Satisfaction
Please indicate how likely you are to use each of the following words or phrases to describe our products and services.
Very likely Somewhat likely Neither likely nor unlikely Somewhat likely Very unlikely
Affordable
Good value
High quality
Honest
Practical
Reliable
Responsive
Simple
Time saving
Useful
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Customer Satisfaction
How long have you been a customer with us? This is my first purchase
Less than six months
Between six months and one year
Between one and two years
More than two years
Approximately how much did you spend on your most recent purchase from us? Less than $50
Between $50 and $100
Between $100 and $500
Between $500 and $1000
More than $1000
How likely are you to continue using our products and services in the future? Very likely
Somewhat likely
Neither likely nor unlikely
Somewhat likely
Very unlikely
Considering the experience you had today, would you buy a similar product here again?
Yes, definitely
Maybe/ Not sure
No, definitely not
Did you make your most recent purchase from our website?
Yes
No
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Customer Satisfaction
How satisfied were you with the design and function of our website? Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied
Very dissatisfied
How easy was it to find the products you purchased? Very easy
Somewhat easy
Neither easy nor difficult
Somewhat difficult
Very difficult
How would you describe the availability of relevant product information (price, product description, availability, etc.)?
I found all of the information I needed
I found most of the information I needed
I found some of the information I needed
I found little of the information I needed
I found none of the information I needed
How easy was the information to find? Very easy
Somewhat easy
Neither easy nor difficult
Somewhat difficult
Very difficult
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Customer Satisfaction
Did you purchase from our company as an individual or on behalf of a company?
Please provide any additional comments on how we can serve you better?