Employee Satisfaction Survey
Name
First Name Last Name
Last name
Date
Month Day Year
Date
How would you describe your overall level of job satisfaction?
Very satisfied Somewhat satisfied Neutral Somewhat dissatisfied Very dissatisfied

How would you rate the following?

	Very Poor	Poor	Average	Good	Excellent
Salary
Overall benefits
Health benefits
Physical work environment
Senior leadership
Individual management
Performance feedback
Employee evaluations
Recognition
Training opportunities
Opportunities for advancement

Do you feel valued at work?
Yes No
If No, Please Explain
Do you have the resources you need to perform your job well?
Yes No
If No, Please Explain
Does your job cause you stress or anxiety?
Yes No
If Yes, Please Explain
Are sufficient efforts being made to solicit colleague opinions and feedback?
Yes No
If Yes, Please Explain
Please Provide Any Additional Feedback
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Employee Satisfaction Survey