Employee Satisfaction Survey
Name
First Name
Last Name
Department
Title
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit 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?
Rows
Very Poor
Poor
Average
Good
Excellent
Salary
1
2
3
4
5
Overall Benefits
6
7
8
9
10
Health Benefits
11
12
13
14
15
Physical Work Environment
16
17
18
19
20
Senior Leadership
21
22
23
24
25
Individual Management
26
27
28
29
30
Performance Feedback
31
32
33
34
35
Employee Evaluations
36
37
38
39
40
Recognition
41
42
43
44
45
Training Opportunities
46
47
48
49
50
Opportunities for Advancement
51
52
53
54
55
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 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
Submit
Should be Empty: