{NAME OF COMPANY} Employee Satisfaction Survey

Please take a few minutes to complete this survey. Your specific answers will be completely anonymous, but your views, in
combination with those of others, are extremely important. To insure your anonymity, {NAME OF COMPANY} retained an
independent consultant to design the survey, receive the completed questionnaires, and interpret the findings.
1.

Overall, how satisfied are you with {NAME OF COMPANY} as an employer? (Please circle one number)
Very
Very
Dissatisfied
Satisfied

How do you feel about each of the following specific matters?

2.

{NAME OF COMPANY}'s communication and planning (Please circle one number for each statement)
Disagree
Strongly

Agree
Strongly

I understand the long-term strategy of {NAME OF COMPANY}...............1...............2...............3...............4...............5

I have confidence in the leadership of {NAME OF COMPANY}................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
3.

Your role at {NAME OF COMPANY} (Please circle one number for each statement)
Disagree
Agree
Strongly
Strongly
I am given enough authority to make decisions I need to make...................1...............2...............3...............4...............5
I like the type of work that I do......................................................................1...............2...............3...............4...............5
I believe my job is secure...............................................................................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5

4.

Corporate culture (Please circle one number for each statement)

Disagree
Strongly

Agree
Strongly

{NAME OF COMPANY}'s corporate communications

are frequent enough.................................................................................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
I feel I can trust what {NAME OF COMPANY} tells me............................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
I believe there is a spirit of cooperation at {NAME OF COMPANY}.........1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
5.

Your relations with your immediate supervisor (Please circle one number for each statement)
Disagree
Agree
Strongly
Strongly
My supervisor treats me fairly........................................................................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
My supervisor asks me for my input to help make decisions........................1...............2...............3...............4...............5

6.

{NAME OF COMPANY}'s training program (Please circle one number for each statement)
Disagree
Strongly

Agree
Strongly

{NAME OF COMPANY} provided

as much initial training as I needed........................................................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5

7.

Pay and Benefits (Please circle one number for each statement)
Disagree
Strongly

Agree
Strongly

My salary is fair for my responsibilities........................................................1...............2...............3...............4...............5

{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
Disagree
Agree
Specifically, I'm satisfied with the:
Strongly
Strongly
Amount of vacation........................................................................................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5
{Attribute masked! Become a client and see all attributes!}........................1...............2...............3...............4...............5

Are there any benefits you would like added to {NAME OF COMPANY}'s benefits package?
Yes.... What would you like added? ____________________________________________________________
No.....
8.

9.

{Question masked! Become a client and see all questions!}?

{Masked}

{Masked}

{Masked}

{Masked}

{Masked}

{Question masked! Become a client and see all questions!}?

{Masked}

{Masked}

{Masked}

{Masked}

{Masked}

10. What can {NAME OF COMPANY} do to increase your satisfaction as an employee?

____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________

The following questions are for analytic purposes only. They will not be used to try to identify any individual.
However, if you feel uncomfortable about answering any of them do not do so.
Whether or not you leave any questions blank, please return your questionnaire.
11. How long have you worked for {NAME OF
COMPANY}?
Less than one year.......................................................
One year to less than two years...................................
Two years to less than five years.................................
Five years to less than ten years..................................
Ten years or more........................................................

15. How many children under the age of 18 do you have?

None.............................................................................
One...............................................................................
Two...............................................................................
Three............................................................................
Four..............................................................................
Five or more.................................................................
16. What is your total before-tax annual income from
this job, including overtime and bonuses?

12. What is your age?

Under 21.......................................................................
21 to 34.........................................................................
35 to 44.........................................................................
45 to 54.........................................................................
55 or older....................................................................

Less than $20,000........................................................

$20,000 to less than $30,000.......................................
$30,000 to less than $50,000.......................................
$50,000 to less than $75,000.......................................
$75,000 or more...........................................................
17. In which department do you work?

13. What is your sex?

Male..............................................................................

Department A...............................................................

Female..........................................................................

Department B...............................................................
Department C...............................................................
Department D...............................................................

14. What is your marital status?

Department E...............................................................

Married.........................................................................

Department F...............................................................

Unmarried....................................................................

Department G...............................................................
Department H...............................................................
Department I................................................................
Department J................................................................

The Survey Process

Questionnaire Development
We assist you in making modifications to your questionnaire, based upon the needs of your organization. This includes the
addition, deletion, and modification of questions or sections.
Data Collection
Internet Surveys

Paper Surveys

We program the survey and test it. We send you suggested text,
including a link to the survey, for the email inviting people to
participate. You invite your employees to participate with your
email message (or, if you prefer, we can send the email). Your

You distribute the questionnaires to your organization and have

them returned directly to us (we can provide postage-paid
envelopes for a small additional cost). We can suggest a format
for a cover letter, or we can review your cover letter if you wish.

Internet Surveys

Paper Surveys

employees complete the online questionnaire. We recommend

that you allow approximately two weeks for all employees to
complete the survey

Your employees return the questionnaires directly to us for data

entry and analysis. We recommend that you allow
approximately three to four weeks for questionnaires to be
returned.

Analysis Timing
For a Gold report, it takes approximately two weeks from the time we receive the last survey response until your final report will be
ready. A Silver report takes approximately one week less time.
Program Options
Silver -- The Silver program is designed for organizations with a tight budget, but who don't have the time to conduct an employee
satisfaction survey from start-to-finish on their own. The program also includes the production of tables and graphs, comparisons to
normative data (aggregate results of other surveys), as well as complete coding (categorization) of verbatim comments, so you can
tell at a glance what suggestions employees have for improvement. Complete comment transcription included for Internet Surveys.
Gold (Our most popular Option) -- In this program, we not only take your project from start-to-finish -- we write an in-depth
report. In addition to the benefits of the Silver program, you'll receive a report highlighting strengths, weaknesses, areas for
improvement, and recommendations.
Cost
Cost varies depending upon number of employees and complexity of survey. As of January 25, 2002, the following costs apply.
Departmental and Divisional reports are available for a small extra charge (call for details).
Number of Employees
< 50
50-99
100-299
300-499
500-999
1,000-1,999
2,000-2,999
3,000-3,999
4,000-4,999
5,000+

Internet
Gold
$3,200-$4,165
$4,165-$4,325
$4,325-$5,660
$5,660-$6,597
$6,597-$9,776
$9,776-$11,367
$11,367-$14,548
$14,548-$17,409
$17,409-$20,909
Call

Silver
$1,400-$1,743
$1,743-$2,719
$2,719-$3,131
$3,131-$3,983
$3,983-$6,734
$6,734-$8,110
$8,110-$10,587
$10,587-$13,614
$13,614-$16,366
Call

Traditional Paper
Gold
$3,800-$4,240
$4,240-$4,428
$4,428-$5,871
$5,871-$6,617
$6,617-$10,341
$10,341-$12,202
$12,202-$15,926
$15,926-$19,650
$19,650-$23,001
Call

Silver
$1,400-$1,818
$1,818-$2,847
$2,847-$3,343
$3,343-$4,002
$4,002-$7,298
$7,298-$8,945
$8,945-$13,066
$13,066-$16,045
$16,045-$19,026
Call

Web Surveys
Do all your employees have access to the Internet? Do they know
how to use it?
If the answer to both of these questions is "yes," you might want to
consider conducting your employee satisfaction survey on the World
Wide Web.
Why use a web survey?
Faster results.
Higher response rate.
Depending upon the number of employees completing the survey, cost savings are possible (the larger the
number of employees, the greater the potential cost savings.
Comments can be easier to interpret. When respondents to a paper questionnaire write comments, they
occasionally are difficult to read and transcribe. This problem is eliminated with a web survey.

Use of copyrighted materials without permission is a violation of United States Federal Law.
Unauthorized use of copyrighted materials may create liability for both the user and the user's employer.

8/04

Use of copyrighted materials without permission is a violation of United States Federal Law.
Unauthorized use of copyrighted materials may create liability for both the user and the user's employer.

8/04