Remote Employee Management Form Template
This survey aims to understand your thoughts about the remote working and how can we improve your experience.
Name
First Name
Last Name
Email Address
example@example.com
Performance
Do you have access to things you need to perform your tasks when working remotely?
Yes
No
Please specify the things that you need access to:
Do you have the equipment that you need to perform effectively at home / work station?
Yes
No
Please specify the items that you need:
How would you rate your productivity while working remotely?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
What additional resources would help you work effectively while remote?
Work Environment
Do you have a dedicated space to focus on work?
Yes
No
Do you have a stable internet connection while you are working remotely?
Yes
No
How can we support you to improve your connection?
Do you have any health conditions that may impact working remotely?
Yes
No
Please specify
Would you like to have a consultancy?
Yes
No
Would you be interested to work from office some days of the week?
Yes
No
Any comment or feedback to improve our remote work environment
Submit
Should be Empty: