This printable employee pulse survey gives teams a fast, repeatable way to check the mood at work, with 5 quick questions across one page that most people finish in about two minutes. Run it weekly, monthly, or after a big change to spot trends before they become problems.
What this survey measures
The survey focuses on the drivers that shift most between pulses: motivation, whether people have the tools and support to do their job well, recognition for their contributions, workload balance, and overall pride in the company. A likelihood-to-recommend question gives you a single employee net promoter style score to track over time, and an open comment box lets staff raise anything the fixed questions miss.
How to use it on paper
Hand the survey out at a team meeting, leave copies in the break room, or include it with a shift handover, then set up an anonymous drop box for completed forms. Staff fill the checkboxes with a blue or black pen and write any comments in the space provided. Collect the forms and scan them in batches: PaperSurvey reads the checkbox and rating answers with optical mark recognition and converts handwritten comments to text automatically, so results land in your dashboard with no manual data entry.
Customize this template
Add your company logo, reword the statements to match your culture, or add and remove questions to suit each pulse. The paper layout reflows automatically as you edit, and every copy you print stays scannable.
Preview the PDF above, or use this template to start collecting employee feedback today.