Work-Life Balance Acknowledgment Form
Please review, assess, and acknowledge your understanding of our work-life balance policy.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Department
*
Please Select
Human Resources
Finance
Marketing
Sales
IT
Operations
Other
How would you rate your current work-life balance?
*
Very Poor
1
2
3
4
Excellent
5
1 is Very Poor, 5 is Excellent
I have read and understand the company's work-life balance policy.
*
Yes, I acknowledge and understand.
No, I need further clarification.
Please share any suggestions or comments regarding work-life balance.
Signature (Please sign to confirm your acknowledgment)
*
Submit Acknowledgment
Submit Acknowledgment
Should be Empty: