Employee Engagement Template

Start of Block: XM Solutions: THIS WILL NOT BE DISPLAYED TO SURVEY TAKERS

Want a full engagement survey?

This survey template provides a starting point for a brief employee engagement survey - it
provides you with a way to get a quick pulse on employee experience. You can access a full
survey as well as all the guidance you need to run your engagement program as part of our
expert designed, pre-built XM Solutions in the Qualtrics platform - check out the full
Engagement Survey

End of Block: XM Solutions: THIS WILL NOT BE DISPLAYED TO SURVEY TAKERS

Start of Block: WELCOME

Q1.1 Welcome to our employee feedback survey!

As a company, we're committed to providing the best environment for all of our employees, to
enable each and every one of you to give your best back to us. This survey is your chance to
tell us what we are doing well in creating that environment, and where we can make
improvements.

In order for this feedback to be useful to us it has to be honest - we want you to feel
comfortable in giving us your views and so all data will only be viewable for groups
of <<confidentiality threshold>> or more responses.

We're excited to hear your views! Thank you in advance for your feedback.

Q1.2 Nearly ready to begin...

Before you start, a few quick guidelines. This survey should take you no more than 10-15
minutes to complete, and we'd prefer you set aside some time to complete in one
sitting. However, if you need to stop and come back to it later, the survey will automatically
save your responses up to the point where you left off.

Click below to get started!

End of Block: WELCOME

Start of Block: SAMPLE QUESTION

Page 1 of 4
Q2.1 The following statements represent a sample set of items that may be found in a traditional
engagement survey, that measure drivers of employee engagement. We've denoted the
category in which these statements would typically belong.

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 Neither
Strongly Somewhat Somewhat Strongly
agree nor
agree agree disagree disagree
disagree
The people I
work with
cooperate to
get the job o o o o o
done.
I am
empowered to
make
decisions to
best serve my
o o o o o
customers.
I have
confidence in
the senior
leadership
team to make
the right
o o o o o
decisions for
this company.
This company
is making
changes
necessary to
compete
o o o o o
effectively.
I receive
feedback that
helps me
improve my o o o o o
performance.
I have open
and honest
communication
with my o o o o o
manager.
Overall, I feel
that my career
goals can be
met at this o o o o o
company.
My job makes
good use of
my skills and
abilities.
o o o o o
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 I believe that
positive
change will
happen as a
result of this
o o o o o
survey.
Work is well
coordinated on
my team. o o o o o
I am proud to
work for this
company. o o o o o
I would
recommend
this company
as a great o o o o o
place to work.

End of Block: SAMPLE QUESTION

Start of Block: CLOSING MESSAGE

Q3.1 That's the end of all the questions. If you wish to go back and change any of your
answers, you can do so using the " << " button below. Otherwise, click " >> " to submit your
survey!

End of Block: CLOSING MESSAGE

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