Here’s a sample Questionnaire you can send to your employees to ascertain their requirements. You can customise it to fit into your own organisation and what you offer your employees.
1. General Well-being
1.1. How would you rate your overall well-being?
Excellent
Good
Fair
Poor
1.2. How often do you feel stressed at work?
Always
Often
Sometimes
Rarely
Never
1.3. How would you rate your current work-life balance?
Excellent
Good
Fair
Poor
2. Physical Health
2.1. How satisfied are you with the physical health resources provided by the company (e.g., fitness programs, ergonomic equipment)?
Very satisfied
Satisfied
Neutral
Unsatisfied
Very unsatisfied
2.2. Do you feel you have adequate access to health and wellness information (e.g., healthy living tips, medical resources)?
Yes
No
Somewhat
2.3. How often do you engage in physical exercise or activity during your work week?
Daily
Several times a week
Once a week
Rarely
Never
3. Mental and Emotional Health
3.1. How often do you experience feelings of burnout or exhaustion related to work?
Always
Often
Sometimes
Rarely
Never
3.2. Are you aware of the mental health resources available to you through the company?
Yes
No
Somewhat
3.3. How comfortable are you discussing mental health concerns with your manager or HR?
Very comfortable
Somewhat comfortable
Neutral
Somewhat uncomfortable
Very uncomfortable
4. Workplace Environment
4.1. How would you rate the overall work environment in terms of support and inclusivity?
Excellent
Good
Fair
Poor
4.2. Do you feel that the company culture supports employee well-being?
Yes
No
Somewhat
4.3. How effective do you find the company’s current wellness programmes (e.g., workshops, seminars, wellness challenges)?
Very effective
Effective
Neutral
Ineffective
Very ineffective
5. Employee Engagement and Participation
5.1. How motivated are you to participate in wellness programs offered by the company?
Very motivated
Motivated
Neutral
Unmotivated
Very unmotivated
5.2. What types of wellness programmes or initiatives would you find most beneficial? (Select all that apply)
Fitness programs
Mental health support
Stress management workshops
Healthy eating initiatives
Flexible work arrangements
Other (please specify)
5.3. Do you have any suggestions for improving the current wellness programs?
[Open text box for responses]
6. Customisation and Needs
6.1. Are there any specific wellness needs or concerns that you feel are not being addressed?
[Open text box for responses]
6.2. How can the company better support your overall wellness?
[Open text box for responses]
7. Final Thoughts
7.1. Is there anything else you would like to share about your wellness at work?
[Open text box for responses]