Employee Wellness Survey

Employee Wellness Survey — Form Fields

This surveys template includes 8 fields. Assess employee physical and mental well-being, stress levels, and satisfaction with workplace wellness programs. Free to customize and use on ZenBuild.

• Department (optional, for anonymous reporting) (text, optional)
• How would you rate your overall physical health and well-being right now? (rating, required)
• How would you rate your mental and emotional well-being at work? (rating, required)
• How often do you feel stressed due to work-related pressures? (multiple choice, required) — options: Rarely or never, Occasionally, Frequently, Almost always
• Which workplace wellness benefits do you currently use? (checkboxes, optional) — options: Employee Assistance Program (EAP), Health insurance or medical benefits, Gym membership or fitness stipend, Mental health counseling or therapy, Wellness challenges or programs, Flexible work hours or remote work, I don't use any wellness benefits
• How supported do you feel by your manager in maintaining a healthy work-life balance? (rating, required)
• What additional wellness resources would benefit you most? (checkboxes, optional) — options: Mindfulness or meditation programs, Financial wellness education, Nutrition or healthy eating resources, Sleep improvement resources, On-site or virtual fitness classes, Stress management workshops
• Is there anything else you'd like to share about your well-being at work? (long text, optional)