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Questionnaire template

Work Environment Assessment

Assesses employees' physical working conditions, tools, spaces, culture and stress to prioritise workplace improvements.

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Human Resources · Employee questionnaires. All Human Resources templates

Questions in this template

Where and How You Work

  1. This assessment asks about the physical, practical and social conditions you work in. Please think about the past three months; your answers are confidential.

  2. Where do you mainly work?

    Choose one:

    • At a company site
    • At home
    • A mix of company site and home
    • At client or field locations

  3. In a typical week, on how many days are you at company premises?

    Asked only when q_main_location.outcome != 2

    A number from 0 to 7

  4. How many hours do you work in a typical week?

    A number from 1 to 80

  5. Overall, how would you rate your work environment? (0 = Very poor, 10 = Excellent)

    A number from 0 to 10

Physical Conditions

  1. How satisfied are you with each of these where you work?

    • Lighting
    • Temperature
    • Noise level
    • Air quality
    • Cleanliness
    • Comfort of desk and seating

    For each row: choose one:

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

  2. In the past three months, have you had any of these problems that you link to your workplace? Select all that apply.

    Choose any that apply:

    • Eye strain
    • Back or neck discomfort
    • Headaches
    • Being disturbed by noise
    • None of these

  3. Have you told your manager or the facilities team about these problems?

    Asked only when q_physical_problems.outcome is not None and q_physical_problems.outcome > 0 and q_physical_problems.outcome & 16 == 0

    Choose one:

    • Yes
    • No

  4. I feel physically safe in my workplace.

    Choose one:

    • Strongly disagree
    • Disagree
    • Neither agree nor disagree
    • Agree
    • Strongly agree

Tools and Resources

  1. How often do you have the equipment and software you need to do your job?

    Choose one:

    • Always
    • Usually
    • Sometimes
    • Rarely
    • Never

  2. What equipment or software is missing?

    Asked only when q_equipment_available.outcome >= 4

    Open answer

  3. Are the following spaces adequate for your needs?

    • Quiet space for focused work
    • Meeting rooms
    • Break and rest areas

    For each row: choose one:

    • Adequate
    • Partly adequate
    • Inadequate
    • Not applicable

Culture and Wellbeing

  1. How much do you agree with each statement?

    • People here treat me with respect.
    • I can raise a concern without fear of negative consequences.
    • My workload is manageable.
    • Colleagues help one another when needed.

    For each row: choose one:

    • Strongly disagree
    • Disagree
    • Neither agree nor disagree
    • Agree
    • Strongly agree

  2. In the past three months, have you experienced or seen unfair treatment of anyone at work?

    Choose one:

    • Yes
    • No
    • Prefer not to say

  3. Do you know how to report such treatment confidentially?

    Asked only when q_unfair_treatment.outcome == 1

    Choose one:

    • Yes
    • No
    • Not sure

  4. How often do you feel stressed because of your work?

    Choose one:

    • Never
    • Rarely
    • Sometimes
    • Often
    • Always

  5. What one change would do most to improve your work environment?

    Open answer