Employee Wellness Survey Template

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.