Employee Wellness Check-In

Employee Wellness Check-In — Form Fields

This hr template includes 6 fields. A periodic check-in form to gauge employee wellbeing, stress levels, and satisfaction. Helps HR identify employees who may need additional support. Free to customize and use on ZenBuild.

• How are you feeling overall this week? (multiple choice, required) — options: Great — thriving, Good — doing well, Okay — managing, Struggling — need support
• Rate your current workload (rating, required)
• How well are you maintaining work-life balance? (rating, required)
• Are you experiencing any of the following? (checkboxes, optional) — options: Burnout or exhaustion, High stress levels, Feeling disconnected from team, Personal/family challenges
• Would you like HR to reach out to you privately? (multiple choice, required) — options: Yes, please reach out, No, I am fine for now
• Anything else you would like to share? (long text, optional)