Measure Employee Well-Being & Work-Life Balance

Collect confidential monthly feedback on employee stress, workload, and well-being to foster a healthier, more supportive workplace culture.

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Monthly Employee Well-Being & Work-Life Balance Pulse Survey

Your Full Name

· · ·

Work Email Address

· · ·

Department

Submit

The Monthly Employee Well-Being & Work-Life Balance Pulse Survey is a confidential, easy-to-complete form designed to help HR teams and managers regularly check in on how employees are truly feeling. It covers key areas like overall well-being, workload manageability, stress levels, energy, motivation, and awareness of available support resources.

This template is ideal for HR professionals, team leads, and organizational leaders who want to proactively identify burnout risks, improve workplace culture, and demonstrate genuine care for their workforce. By running this survey monthly, organizations can spot trends early and make data-driven decisions to support employee health and satisfaction.

With built-in confidentiality assurances and open-ended questions for honest feedback, this pulse survey encourages authentic responses. Use it to benchmark well-being over time, prioritize initiatives, and show employees that their voices genuinely shape company decisions.

3 Pages

15 Questions

~5min To complete

Free No credit card needed

Field types Likert Scale ×4 Dropdown ×2 Scale Rating ×2 Long Text ×2 Full Name Email NPS Score Multiple Choice Single Choice

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 About You 4 questions

Employee Information

1 Your Full Name * Full Name

2 Work Email Address * Email

3 Department * Dropdown

4 How long have you been with the company? * Dropdown

Page 2 Well-Being & Work-Life Balance 7 questions

How Are You Feeling This Month?

Your honest responses help us create a healthier, more supportive workplace. All individual answers are kept confidential.

1 Overall, how would you rate your well-being this month? * Likert Scale

2 I feel I have a healthy balance between my work and personal life * Likert Scale

3 My current workload feels manageable * Likert Scale

4 I feel comfortable taking breaks and time off when I need to * Likert Scale

5 How would you rate your stress level this month? * Scale Rating

6 How would you rate your energy and motivation level this month? * Scale Rating

7 How likely are you to recommend this company as a great place to work? * NPS Score

Page 3 Support & Feedback 4 questions

Your Voice Matters

1 Which areas, if any, have been affecting your well-being this month? Multiple Choice

2 Are you aware of the well-being resources and support programs available to you? * Single Choice

3 What is one thing the company could do to better support your well-being or work-life balance? Long Text

4 Is there anything else you'd like to share with us this month? Long Text

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.