Employee Satisfaction Survey Sample

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1
Employee Satisfaction Survey Sample
[2.1.2.b.1]
NOTE: Personalize the list of programs, job positions, shift, or departments to be surveyed and
checked by respondent.
Division
Date:
X Program
Administration
Prevention staff
Program
FOR OFFICE USE
Y Program
Management
Treatment staff
Position
Respondent number:
Z Program
Professional
Mental health staff
Evaluation Component
Neither
Please circle your level of agreement with the following:
Strongly
Disagree
Agree nor
Agree
Strongly
Disagree
Disagree
Agree
I believe management encourages and recognizes new ideas.
1
2
3
4
5
I am committed to staying at the organization for the next 12
1
2
3
4
5
months.
1
2
3
4
5
I am satisfied with the opportunities for growth within the
organization.
1
2
3
4
5
I am satisfied with the product or service I provide.
I am satisfied with the products or services the organization
1
2
3
4
5
provides.
I believe clients/consumers are treated with respect by staff.
1
2
3
4
5
Members of my team pull together to complete a task.
1
2
3
4
5
My team will utilize constructive suggestions or criticism.
1
2
3
4
5
Management's expectations are consistent with the level of
1
2
3
4
5
resources given.
I am satisfied with how the organization addresses external
1
2
3
4
5
issues impacting our services and products.
I am satisfied with how the organization addresses internal
1
2
3
4
5
issues impacting our services and products.
The organizational lines of communication flow easily.
1
2
3
4
5
1
2
3
4
5
If I share my work problems with my direct supervisor he/she
would respond appropriately.
1
2
3
4
5
I am satisfied with the level and amount of supervision I
receive.
1
2
3
4
5
I am satisfied with how my supervisor has worked with me to
identify strengths and development areas.
My supervisor provides me resources to improve my work.
1
2
3
4
5
My supervisor encourages high achievement by reducing the
1
2
3
4
5
fear of failure.
I receive fair and honest performance evaluations.
1
2
3
4
5
1
2
3
4
5
I believe that I receive the recognition I deserve for my
contribution.
I am satisfied with the amount of training I receive to do my
1
2
3
4
5
job.
My work environment is comfortable and adequate to the
1
2
3
4
5
needs of the program/department.
1
2
3
4
5
My team utilizes appropriate problem solving skills.
I am given the tools I need to provide the services or products
1
2
3
4
5
assigned to me.
The salary is competitive to similar organizations providing
1
2
3
4
5
similar services.
The benefits are competitive to similar organizations providing
1
2
3
4
5
similar services.

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