Staff Challenges Survey Form
Please share information about workplace challenges you are experiencing. Your feedback helps us improve our work environment.
Briefly describe the workplace challenge you are experiencing.
*
Which area or department is most affected by this challenge?
*
Please Select
Operations
HR
Sales
Customer Support
IT
Finance
Other
How often does this challenge occur?
*
Daily
Weekly
Monthly
Rarely
How severe is the impact of this challenge on your work?
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No impact
1
2
3
4
Severe impact
5
1 is No impact, 5 is Severe impact
What do you think are the main causes of this challenge?
*
Have you attempted to resolve this challenge?
*
Yes
No
If yes, please describe what you tried and the outcome.
How urgent is it to resolve this challenge?
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Immediate
Within a month
Can wait
How would you prefer to be contacted for follow-up (if needed)?
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Email
Phone
No follow-up needed
Please rate your overall satisfaction with the current process for addressing workplace challenges.
*
1
2
3
4
5
Submit Survey
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