Employee Wellbeing Evaluation Feedback Form
Please provide your honest feedback to help us improve workplace wellbeing. This is a non-medical, non-HIPAA feedback survey.
Overall, how satisfied are you with your current work environment?
*
Very Dissatisfied
1
2
3
4
Very Satisfied
5
1 is Very Dissatisfied, 5 is Very Satisfied
How would you rate your current work-life balance?
*
1
2
3
4
5
Do you feel supported by your manager or supervisor?
*
Always
Often
Sometimes
Rarely
Never
How manageable is your current workload?
*
Very manageable
Manageable
Neutral
Unmanageable
Very unmanageable
How often do you feel stressed at work?
*
Never
Rarely
Sometimes
Often
Always
How comfortable do you feel voicing your opinions or concerns at work?
*
Not comfortable
1
2
3
4
Very comfortable
5
1 is Not comfortable, 5 is Very comfortable
Do you have access to the resources you need to do your job well?
*
Always
Often
Sometimes
Rarely
Never
How would you rate the communication within your team?
*
1
2
3
4
5
What is one thing that would improve your wellbeing at work?
Please share any additional comments or suggestions regarding workplace wellbeing.
Submit Feedback
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