{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
1 2 3 4 5 6 7

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
Agree
Strongly
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

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

4. Corporate culture (Please circle one number for each statement)

Disagree
Agree
Strongly
Strongly
{NAME OF COMPANY}'s corporate communications
 are frequent enough.......................................................................................1................2................3....4
5

I feel I can trust what {NAME OF COMPANY} tells me..............................1................2................3....4

5

I believe there is a spirit of cooperation at {NAME OF COMPANY}...........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

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
Agree
Strongly
Strongly
{NAME OF COMPANY} provided
as much initial training as I needed..........................................................1................2................3....4
5

7. Pay and Benefits (Please circle one number for each statement)
Disagree
Agree
Strongly
Strongly
My salary is fair for my responsibilities..........................................................1................2................3....4
5

Disagree
Agree
Specifically, I'm satisfied with the: Strongly
Strongly
Amount of vacation.........................................................................................1................2................3....4
5

Are there any benefits you would like added to {NAME OF COMPANY}'s benefits package?

Yes....

No.....

What would you like added? ____________________________________________________________

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

__________________________________________________________________________________

__________________________________________________________________________________

9. 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............................................

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

None................................................................
One..................................................................
Two..................................................................
Three................................................................
Four.................................................................
Five or more....................................................

11. What is your age?

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

12. What is your total before-tax annual income from this job, including overtime and bonuses?

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................................................

13. What is your sex?

Male..............................................................................
Female..........................................................................

14. What is your marital status?

Married.........................................................................
Unmarried.....................................................................
15. In which department do you work?

Department A...............................................................
Department B...............................................................
Department C...............................................................
Department D...............................................................
Department E................................................................
Department F................................................................
Department G...............................................................
Department H...............................................................
Department I.................................................................
Department J................................................................