Employee Wellness Check-In

A periodic check-in form to gauge employee wellbeing, stress levels, and satisfaction. Helps HR identify employees who may need additional support.

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We care about your wellbeing. Please take a moment to share how you are doing.

How are you feeling overall this week?*

Great — thrivingGood — doing wellOkay — managingStruggling — need support

Rate your current workload*

How well are you maintaining work-life balance?*

Are you experiencing any of the following?

Burnout or exhaustionHigh stress levelsFeeling disconnected from teamPersonal/family challenges

Would you like HR to reach out to you privately?*

Yes, please reach outNo, I am fine for now

Anything else you would like to share?

CategoryHR

Fields6

Uses0

hrwellnessmental-healthwellbeing