Employee culture survey template
Bold = Survey question Normal = Guidance for the respondent Italics = Notes for you about the question
Company values
Please list the core values of Company X below.
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Do not check them up, but rather try to memorize them and write down what comes to your mind.
Which of those values do you relate the most?
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How well do you think this company lives up to its values?
Scale 1-5
Ask for each of your values separately
1 = Not at all, 5 = Perfectly
What do you think about our values?
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You can also leave feedback on how they are communicated or discussed.
Employee feelings
Your feelings
I’m happy at work.
Scale 1-5
1 = I don’t agree, 5 = I agree
I’m happy outside work.
Scale 1-5
1 = I don’t agree, 5 = I agree
My work-life balance is healthy.
Scale 1-5
1 = I don’t agree, 5 = I agree
I’m excited about my job.
Scale 1-5
1 = I don’t agree, 5 = I agree
My role here has a purpose.
Scale 1-5
1 = I don’t agree, 5 = I agree
What was the number one reason you joined our company?
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What motivates you, if anything, to go above and beyond at work?
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What do you like most about working here?
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I feel connected to my coworkers.
Scale 1-5
1 = I don’t agree, 5 = I agree
We (coworkers) respect each other.
Scale 1-5
1 = I don’t agree, 5 = I agree
We (coworkers) give authentic recognition to each other.
Scale 1-5
1 = I don’t agree, 5 = I agree
I am challenged on a daily basis at work.
Scale 1-5
1 = I don’t agree, 5 = I agree
I have accomplished my goals in the last six months.
Scale 1-5
1 = I don’t agree, 5 = I agree
I have enough autonomy to perform my job effectively.
Scale 1-5
1 = I don’t agree, 5 = I agree
I am appropriately involved in decisions that affect my work.
Scale 1-5
1 = I don’t agree, 5 = I agree
I am progressing professionally at Company X.
Scale 1-5
1 = I don’t agree, 5 = I agree
My company supports me in my professional development.
Scale 1-5
1 = I don’t agree, 5 = I agree
What do you wish to get accomplished in life?
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What’s your most recent accomplishment at work?
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What kind of training would you like to receive to help you accomplish your career goals?
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I would leave Company X if another company offered me a 25% raise, and my job responsibilities and role there would be the same than here.
Yes/No
In the past three months, have you interviewed for another job?
Yes/No
If you were to leave this company tomorrow, what would the reason be?
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Open feedback about how you feel working here
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About the company
Do you know the company’s mission?
Yes/No
What is the company’s mission?
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Ask if answer to previous question is “Yes”. Otherwise tell what the mission is!
What is one word that describes our culture?
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What does our culture value most?
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I have fun working here.
Scale 1-5
1 = I don’t agree, 5 = I agree
I’m proud of our company.
Scale 1-5
1 = I don’t agree, 5 = I agree
Our team-building activities are effective.
Scale 1-5
1 = I don’t agree, 5 = I agree
What drives you crazy here?
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I understand what it will take for the company to be succesful.
Scale 1-5
1 = I don’t agree, 5 = I agree
What is it (that it will take for the company to be successful)?
Long form text
Only ask if previous question’s score is 3 or more.
I see a direct relationship of what I do on a daily basis and the overall goals and objectives of the company.
Scale 1-5
1 = I don’t agree, 5 = I agree
Our company is transparent when it comes to the company’s performance.
Scale 1-5
1 = I don’t agree, 5 = I agree
What do you see in our company’s future?
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What potential hazards do you think can put us out of business?
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Do you believe our company has a higher purpose than money?
Scale 1-5
1 = I don’t agree, 5 = I agree
What do you think is our company’s biggest strength that we should be focusing on?
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What are some ways that we can improve communication at our company?
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What’s one thing you’d like to see us continue doing here?
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What do you think is one process that we can improve here?
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If our company had a theme song, what would it be and why?
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We are a better company now than we were 6 months ago.
Scale 1-5
1 = I don’t agree, 5 = I agree
I would refer people to work here.
Yes/No
Open feedback about our company
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About management
My manager has given me recognition in the past month.
Yes/No
My manager gives me clear direction.
Scale 1-5
1 = I don’t agree, 5 = I agree
My manager is good at recognizing my contributions at work.
Scale 1-5
1 = I don’t agree, 5 = I agree
My manager supports my personal development goals.
Scale 1-5
1 = I don’t agree, 5 = I agree
I feel comfortable providing feedback and even criticism to my manager.
Scale 1-5
1 = I don’t agree, 5 = I agree
I feel respected by my manager.
Scale 1-5
1 = I don’t agree, 5 = I agree
Our management team sets clear goals.
Scale 1-5
1 = I don’t agree, 5 = I agree
Our management team is transparent on their doings and decisions.
Scale 1-5
1 = I don’t agree, 5 = I agree
It seems to me, that our management team is all on the same page.
Scale 1-5
1 = I don’t agree, 5 = I agree
If they were making a movie about our company, which actor or actress should play our CEO?
Scale 1-5
1 = I don’t agree, 5 = I agree
Open feedback to the management team
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An adaptation of nfx’s Culture scorecard and manual. All credit to them.