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Employee Wellness Survey Template

Take a Feedback from your employees to establish a direct correlation of their happiness, fitness, and health

List of Employee Wellness Survey Questions

The following questions are included in this Employee Wellness Survey Form Template. 

  • Overall, I feel well and whole (emotionally, physically, socially and spiritually). (1 being strongly disagree and 5 being strongly agree)
  • How much do you agree with each of the following statements? (1 being strongly disagree and 5 strongly agree)
  • I feel emotionally strong and resilient.
  • I find it easy to express my emotions in positive, constructive ways.
  • I am resilient and can bounce back after a disappointment or problem.
  • I am flexible and adapt to change in a positive way.
  • I am able to recognize and manage the things that cause me stress.
  • I love and accept myself for who I am.
  • How much do you agree with each of the following statements? (1 being strongly disagree and 5 strongly agree)
  • I am in a comfortable environment (work and home).
  • I recognize the impact of my actions on my work and home environment.
  • I recognize the impact of my home and work environment on my health.
  • I contribute toward making my home and work environment a safer and healthier place.
  • I live in a safe environment.
  • I spend time outdoors enjoying nature.
  • How much do you agree with each of the following statements? (1 being strongly disagree and 5 strongly agree)
  • I am intellectually stimulated by my work and non-work activities.
  • I can critically consider the opinions and information presented by others and provide constructive feedback.
  • I feel capable of making important decisions.
  • I keep informed about social, political and/or current issues.
  • I look for ways to use my creativity and critical thinking skills.
  • I seek personal growth by learning new skills.
  • How much do you agree with each of the following statements? (1 being strongly disagree and 5 strongly agree)
  • My work is personally satisfying.
  • I get personal satisfaction and enrichment from work.
  • My workload is manageable.
  • I am content with where I am in my career.
  • I am developing the necessary skills to achieve my career goals.
  • I balance work with play and other aspects of my life.
  • How much do you agree with each of the following statements? (1 being strongly disagree and 5 strongly agree)
  • I generally feel very good about my health.
  • I exercise at least three times a week.
  • I protect myself and others from getting ill (e.g., wash my hands, cover my cough, etc.).
  • I get enough sleep and feel vibrant throughout the day.
  • I listen to my body; when there is something wrong, I seek needed assistance.
  • I maintain healthy eating habits.
  • How much do you agree with each of the following statements? (1 being strongly disagree and 5 strongly agree)
  • I have a healthy social life.
  • I feel supported and respected in my close relationships.
  • I participate in a variety of social activities.
  • I am able to maintain healthy relationships with my friends and loved ones.
  • I feel a sense of belonging to a group or community.
  • I have someone I can talk to about my private feelings.
  • How much do you agree with each of the following statements? (1 being strongly disagree and 5 strongly agree)
  • My life has purpose.
  • I take time to think about what’s important in life—who I am, what I value, where I fit in, and where I am going.
  • I have found a balance between meeting my needs and those of others.
  • I engage in acts of caring and goodwill without expecting something in return.
  • I feel like my life has purpose and meaning.
  • I experience love, joy and fulfillment.
  • How much do you agree with each of the following statements? (1 being strongly disagree and 5 strongly agree)
  • Most days I feel burned out.
  • I have negative thoughts about my job.
  • I feel misunderstood or unappreciated by my co-workers.
  • I feel that I am not getting what I want out of my job.
  • I am easily irritated by small problems, or by my co-workers and team.
  • I feel emotionally drained often.

Create and send this Employee Wellness Survey with Zonka Feedback

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