1.

QUESTIONNAIRE
SATISFACTION LEVEL FOR VARIOUS WELFARE MEASURES AND SOCIAL
SECURITY OFFERED TO EMPLOYEES.
NAME : ______________________________

AGE :
Less than 25
25-35
35-45
45 & above.
SEX :
Male
Female

EDUCATION QUALIFICATION : SSLC/UG/PG/PROFESSIONAL

INCOME :Less than 5000

5000-10,000
10,000-15,000
15,000-20,000
20,000 & above

DEPARTMENT : ______________________________

DESIGNATION : ______________________________

YEARS OF EXPERIENCE : ______________________________

(Please tick the appropriate box)

Sl HIGHLY
HIGIILY
no QUESTIONS SATISFIED
SATISFIED NEUTRAL DIS- DIS-
SATISFIED SATISFIED

Medical benefit to
1.
individual and family.

Maternity benefit for

2.
women employee.

3. Disablement to individual.

4. Dependence benefit.

Old age benefit

(Gratuity, PF, Group
5.
insurance, Loan benefit,
O.T)

6. Employee injury benefit.

7. Environmental protection.
 Housing facilities/
8.
Road Lighting.

9. Canteen facilities.

10. Transport facilities.

Provision for safety

11.
equipment.
Drinking water facility and
12.
sanitation.

13. Educational facility.

Conducive work
14.
environment.

15. Workers education facility.

Worker recreation/ child/

16. youth/ womens club/ play
ground, park etc.,

17. Crches benefit.

18. Uniforms.

Fair distribution of work/

19. provision for rest hours/
breaks.

Market co-operative/
20.
Credit society.

QUESTIONNAIRE
PLEASE TICK
1) How many facilities provided by the company to you?
Canteen Housing
Education Medical
2) How many special facilities have you availed?
2 to 5 5 to 6 6 and above
3) How many facilities are you availing on routine basis?
1 to 5 5 to 10 10 and above

4) How many facilities are provided for education of children to

employees?
Bus Facilities
 School Facilities
Educational loan facilities
Are you getting wages as per basic minimum criteria allotted by
Government?
Yes No No Suggestions
5) How much time it will take for sanctioning special welfare facility?
1-2 week 2-3 week 3-4 week
7) Is there suitable ventilation and good environment in the work place?
Yes No No Suggestions
8) Is the work place regularly cleaned?
Yes No
9) How much are you satisfied by the procedure of availing routine
welfare facilities?
Highly satisfied
Satisfied
Partly satisfied
Not satisfied
10) How much are you satisfied by the procedure of availing
Special welfare facilities?
Highly satisfied
Satisfied
Partly satisfied
Not satisfied
11)Kindly suggest the methods of improving or adding special
Welfare facilities?
No improvement
Early action should be taken
Proper time should be taken

12) Does welfare benefits provided by the organization plays as a

Motivational factor?
Highly agree
Agree
Do not agree
13) Do you get medical reimbursement on time?
Yes and with full reimbursement
Yes but with reduced reimbursement
No reimbursement
 Not applicable
14) Briefly explain the procedure of availing routine welfare facilities in
points.
Making an application, submit proof and immediate sanction.
Only application is required.
Just an approach.
15) Briefly explain the procedure availing the special welfare facilities in
points.
Lengthy process
Not availed
Apply take approval and show proof.
16) Your comment and suggestion

Questionnaire

1) Employee name (name optional):

2) Designation:
3) Department:
4) Qualifications: Grad ____________ PG __________________
Any others (please specify): __________________
5) Service Completed: ________ years
6) Age (please tick): a) Below 25 b) 25-35 c) 35-45 d) Above 45
7) Marital status: a) Married b) Unmarried
8) No of dependents: a) Nil b) 1-2 c) 3-4 d) above 4 (please tick)

9) How is your work condition?

a) Excellent b) Good c) Average d) Poor

10) Are you aware of various employee welfare facilities provided by the organization?
a) Yes b) No
If yes, please tick the following welfare measures you are aware of
a) Educational facilities b) Medical facilities c) Housing facilities d)
Canteen facilities e) All facilities
If No, any specific reasons for not knowing
 How the same can be popularized:

11) How these employee welfare measures work for the betterment of the organization.
[Please give rank 1, 2, 3, 4, and 5].
a) To improve efficiency of the employees [ ]
b) To build up the organization [ ]
c) To achieve only tangible and temporary benefits [ ]
d) To retain skilled employees [ ]
e) To build up human assets and employee loyalty to achieve the long term goals
[ ]
12) Employee Welfare Measures help the organization to motivate its employee so that these
valuable human resources can be effectively utilized for improving the performance of the
organization:
a) True b) True to some extent
c) Not possible at all d) Not possible without employee will to excel.

13) How satisfied are you with the welfare measures of your bank.

Schemes Satisfied Satisfied to Cannot Dissatisfied Totally

some extent say to some extent dissatisfied
Loan
facilities
Medical
benefits
Other
benefits
General
facilities

14) Whether these welfare measures provide you a sense of security

a) Yes b) May be c) No
Educational facilities:

15) Please rate your satisfaction levels towards different Educational facilities being provided
by the organization. Please tick among the following

Educational Satisfied Satisfied Cannot Dissatisfied Totally

allowance to some say To some dissatisfied
extent extent
For children
For self-education
Others (specify)

16) Is the bank providing the education loan facilities like?

Educational loans Yes May be No

For self-education
Education leave for self
Loan for dependents

Medical facilities:
17) Are you happy with the benefits of medical assistance scheme provided by organization?

Medical Assistance Satisfied Satisfied to Cannot Dissatisfied Totally

schemes some say To some dissatisfied
extent extent
Medical aid as a
lump sum amount
Hospitalization
expenses for self
Hospitalization
expenses for
dependents
Medi-claim
insurance card for
self
Medi-claim
insurance card for
dependents
Transit homes for
other places while in
medical treatment
 Medical aid on
Retirement
Hospitalization
expenses for self
after retirement
Others (specify)

18) Do you think medical risk for you & your family is covered with the available facilities?
a) Yes b) No

Housing facilities:
19) Are you satisfied with the housing facilities provided by the organization through?

Satisfied Satisfied Cannot Dissatisfied Totally

to some say To some dissatisfied
extent extent
Payment of HRA
Housing loans
Providing bank
quarters
Reimbursement
of rent
Others (specify)

20) Are you satisfied with the benefits provided to you

a) Satisfied b) Satisfied to some extent C) cannot say
d) Not satisfied e) Dissatisfied to some extent

Transport facilities:
21) Do you have any transport facility in your organization?
a) Yes b) No
If no, whether any conveyance allowed paid to you
a) Yes b) No
Are you satisfied with the conveyance allowance provided by bank for purpose of
transport?
a) Satisfied b) Satisfied to some extent C) cannot say
d) Not satisfied e) Dissatisfied to some extent
Canteen facilities & General facilities:
22) How are the canteen facilities in your organization?
a) Excellent b) Good c) Average D) Not good
23) Are you satisfied with general facilities like Drinking water, First Aid
a) Yes b) No
24) The Welfare & Social measures conveyed by the Management are
a) Great extent b) Satisfactory c) Limited extent
25) How effective do you think is the welfare measures?
a) Sufficient b) Fully effective c) Hardly
26) Whether the welfare measures are periodically reviewed
a) Periodically b) Never c) Only on frequent requests
27) Any expectations you have from the organization in the near future
_________________________________
28) Would you like to suggest any Measures for improvement of existing welfare -
_______________________________________schemes:

29) Would you like to suggest any other innovative Welfare Measures to be introduced?
Name of the new scheme Reasons for suggesting the same