Scale: 1 = Strongly Disagree | 2 = Disagree | 3 = Neutral | 4 = Agree | 5 = Strongly Agree
Statement | Score (1-5) | ||
|---|---|---|---|
A | B | ||
1 | I am proud to tell others that I work for this organization. | ||
2 | I see myself still working here in two years' time. | ||
3 | My work gives me a sense of personal accomplishment. | ||
4 | The organization’s mission and goals make me feel my job is important. | ||
5 | I am motivated to go above and beyond my basic job requirements. |
Scale: 1 = Strongly Disagree | 2 = Disagree | 3 = Neutral | 4 = Agree | 5 = Strongly Agree
Statement | Score (1-5) | ||
|---|---|---|---|
A | B | ||
1 | My immediate supervisor provides me with actionable feedback. | ||
2 | Leadership communicates a clear vision for the future of the company. | ||
3 | I feel supported by my manager to take risks and innovate. | ||
4 | Senior leaders act in alignment with the company’s core values. | ||
5 | Decisions that affect my work are explained clearly by management. |
Do you have the tools and resources necessary to do your job effectively?
Have you received a formal performance review in the last 6 months?
Do you feel the current workload is sustainable for your well-being?
Would you recommend this company as a great place to work to a friend?
Do you feel that your opinions are heard and valued by your team?
Scale: 1 = Strongly Disagree | 2 = Disagree | 3 = Neutral | 4 = Agree | 5 = Strongly Agree
Statement | Score (1-5) | ||
|---|---|---|---|
A | B | ||
1 | I feel a sense of belonging at this organization. | ||
2 | People from all backgrounds are treated fairly here. | ||
3 | The company demonstrates a true commitment to diversity. |
What is the one thing this organization should start doing to improve our culture?
Describe a specific instance where you felt most engaged or motivated in your role.
If you could change one aspect of your daily workflow, what would it be and why?
Survey Template Insights
Please remove this form template insights section before publishing.
To get the most out of this template, it is important to understand the structural logic behind the questions. A well-designed survey doesn't just collect data; it identifies the specific levers you can pull to improve the organization.
The survey follows a specific cognitive path to ensure high-quality responses:
In a 5-point rating scale, the "3" (Neutral) is often the most important data point.
As noted in the statistical section, the Standard Deviation ($\sigma$) is your primary tool for identifying sub-cultures.
To make this template truly "comprehensive," you should look for the Correlation Coefficient between Section B (Management) and Section A (Core Engagement).
If the correlation is high (above 0.7), it means your managers are the primary reason people stay or leave. If the correlation is low, the "brand" or "benefits" might be holding the team together regardless of who their boss is.
When analyzing the long-answer questions, look for the frequency of specific nouns and verbs.
Mandatory Questions Recommendation
Please remove this mandatory questions recommendation section before publishing.
While every question provides a piece of the puzzle, a few act as the structural "load-bearers" of the entire dataset. If these are skipped, the statistical integrity of your report collapses.
Here are the mandatory questions for this template and the reasoning behind their status:
Category: Retention Intent
Category: Management Quality
Category: Operational Enablement
Category: eNPS (Employee Net Promoter Score)
Category: Qualitative Growth
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