Midday Check-In Survey
Share your midday status, focus, and support needs to help us support your productivity.
How are you feeling right now?
*
Energized
Motivated
Neutral
Tired
Stressed
Other
How would you rate your energy level?
*
1
2
3
4
5
How focused do you feel at this point in the day?
*
Not focused
1
2
3
4
5
6
Highly focused
7
1 is Not focused, 7 is Highly focused
How manageable is your current workload?
*
Very manageable
Manageable
Getting busy
Overwhelming
What is your main focus for the rest of today?
Have you encountered any blockers or challenges so far?
*
No blockers
Minor blockers
Major blockers
If yes, please describe your blockers or challenges.
Do you need support from your team or manager?
*
No support needed
Yes, from team
Yes, from manager
If yes, what kind of support would be most helpful?
Any additional comments or feedback?
Submit Check-In
Should be Empty: