All templates

Company Mission and Values Alignment Survey

Measures the gap between the values a company says it holds and the values employees actually experience in day-to-day decisions, priorities, and leadership behavior. Built for HR and leadership teams auditing culture health, with an AI follow-up that reconstructs a real recent moment where a decision either honored or contradicted a stated value.

Sample questions

A preview of what’s in the template. Every question is editable before you launch.

14 questions · ~7 min
Q01
Message

Thanks for taking a few minutes on this. We want to know whether our stated values actually show up in how decisions get made day to day — not just how they sound on the wall. Honest answers help most. About 5-6 minutes.

Q02
MatrixRequired

Thinking about the last few months, how often have you seen each of these values actually reflected in decisions at this company? (Template note: replace the rows below with your organization's real stated values.)

5 rows × 5 columns
  • Customer Obsession (Replace with your value)
  • Integrity
  • Innovation
  • Collaboration
  • Ownership
Columns: Never · Rarely · Sometimes · Often · Always
Q03
Opinion ScaleRequired

Overall, how well do the decisions you see made here match the values the company says it stands for?

Scale: 110
Min:Not aligned at allMax:Fully aligned
Q04
Multiple ChoiceRequired

Which of our stated values is most often set aside when things get busy or under pressure? (Template note: replace options with your organization's real stated values.)

  • Customer Obsession (Replace with your value)
  • Integrity
  • Innovation
  • Collaboration
  • Ownership
  • None — they all hold up under pressure
Q05
Ranking

Rank these values by how much they actually influence real decisions here, from most to least influential in practice. (Template note: replace with your organization's real stated values.)

  1. Customer Obsession (Replace with your value)
  2. Integrity
  3. Innovation
  4. Collaboration
  5. Ownership
Drag to rank
Q06
Opinion ScaleRequired

In the last 3 months, how often have you personally witnessed a decision that contradicted one of our stated values?

Scale: 15
Min:NeverMax:Very often
Q07
AI Interview

Reconstruct one specific, recent instance the respondent witnessed of a decision that either honored or contradicted a stated company value — anchor on what was actually decided, who made the call, and what was said publicly versus what happened in practice. If they say they've never witnessed a contradiction, probe for a moment that best exemplified a value being lived out well instead, and what made it credible.

Q08
Rating ScaleRequired

How much do you trust senior leadership to act consistently with our stated values when it's costly or inconvenient to do so?

Range: 15
Min:No trust at allMax:Complete trust
Q09
Multiple Choice

Has the gap (or match) between our stated values and lived behavior affected your intent to stay at this company?

  • Yes, it makes me want to leave
  • Somewhat, I've started reconsidering
  • No effect either way
  • Yes, it makes me want to stay longer
  • Not sure
Q10
Message

Last section — a few quick details to help us spot patterns across teams. All optional.

Q11
Multiple Choice

Which department or function are you part of?

  • Engineering
  • Sales
  • Marketing
  • Product
  • Operations
  • HR/People
  • Finance
  • Prefer not to say
Q12
Multiple Choice

How long have you worked at this company?

  • Less than 1 year
  • 1-3 years
  • 4-7 years
  • 8+ years
  • Prefer not to say
Q13
Multiple Choice

Which best describes your role level?

  • Individual contributor
  • People manager
  • Senior leadership / executive
  • Prefer not to say
Q14
Message

That's everything — thank you for the candor. Your responses will be aggregated into a values-alignment report for leadership, and used to identify where our stated values need real changes to how we operate, not just new language.

What’s included

  • AI follow-ups

    Adaptive probes on open-ended answers that pull out detail a static form would miss.

  • Attention checks

    Built-in safeguards against rushed answers and low-quality respondents.

  • AI-drafted copy

    Wording, ordering, and branching written by the AI — tuned to your research goal.

  • Auto report

    Themes, quotes, and a plain-English summary write themselves once responses come in.

Why this template

What this template is built to do — we found no directly comparable template from other survey tools to review.

What sets it apart

  • Includes a matrix and opinion-scale set that separately measures stated-value frequency versus lived decision-making, directly capturing the say-do gap rather than personal values in isolation.
  • Uses an AI follow-up interview step to reconstruct one specific, recent decision the respondent witnessed that honored or contradicted a stated value, producing concrete behavioral evidence instead of only abstract ratings.
  • Adds a ranking exercise and a multiple-choice item on which stated value gets set aside under pressure, giving leadership a prioritized, actionable view of where values erode first.
  • Closes with department, tenure, and role-level segmentation plus a trust-in-leadership rating, letting HR cross-tab the values gap by team and seniority in an auto-generated report.

Ready to launch?

Open this template in the editor. Every part is yours to change before the first respondent sees it.