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Questionnaire template

Office Workspace Setup

Employee check of workspace comfort, ergonomic equipment needs, technology status, cleaning and safety awareness.

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Questions in this template

Your Workspace

  1. We are reviewing how our office is set up. Your answers will help us make it a more comfortable and productive place to work.

  2. Overall, how satisfied are you with how your workspace is set up?

    Choose one:

    • Very satisfied
    • Satisfied
    • Neither satisfied nor dissatisfied
    • Dissatisfied
    • Very dissatisfied

  3. How would you rate each of these aspects of your workspace?

    • Comfort
    • Lighting
    • Ventilation
    • Noise level
    • Privacy

    For each row: choose one:

    • 1 - Very poor
    • 2
    • 3
    • 4
    • 5 - Very good

Ergonomics

  1. Is each of these comfortable for your daily work?

    • Desk
    • Chair

    For each row: choose one:

    • Yes
    • No

  2. If anything about your desk or chair is uncomfortable, please describe it (optional).

    Open answer

  3. Which ergonomic equipment would you need at your workspace? Select all that apply.

    Choose any that apply:

    • Adjustable chair
    • Ergonomic keyboard
    • Ergonomic mouse
    • Monitor arm
    • Footrest
    • Wrist rest
    • None needed

  4. Add any details about the equipment you need (optional).

    Condition: Shown when equipment was selected

    Open answer

Technology

  1. What is the status of each of these at your workspace?

    • Fast internet connection
    • Computer
    • Phone system
    • Printer access
    • Secure sign-in

    For each row: choose one:

    • Provided and working
    • Provided but with problems
    • Not provided

  2. Please briefly describe any technology problems you have had (optional).

    Open answer

Safety and Cleanliness

  1. Is your workspace cleaned regularly?

    Choose one:

    • Yes
    • No
    • Not sure

  2. Do you know where the nearest emergency exit and first-aid point are?

    Choose one:

    • Yes
    • No
    • Not sure