Employee Pulse Survey Template

Employee pulse survey template with 7 quick questions on motivation, recognition, and workload. Print, hand out, and scan completed forms for instant results.

This is a ready-made survey template you can use two ways. Print it on paper and hand it out, then scan the completed forms and PaperSurvey reads the answers for you automatically, no manual typing. Or share the very same template as an online web survey. The preview below shows the printable paper version.

Use this template

Copy this template into your account, then customize it to suit your needs.

This printable employee pulse survey gives teams a fast, repeatable way to check the mood at work, with 7 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.

Paper and web from one template

Every PaperSurvey template is a hybrid survey: run it on paper and scan the forms, share it online as a web survey, or do both at once and collect all the responses in one place. to see how it looks online, or open it in a new tab. It is a live preview only, so nothing you enter is saved.

Questions in this template

  1. Please rate how much you agree with each statement.
  2. How likely are you to recommend us as a place to work?
  3. Is there anything on your mind you would like to share?
  4. How has your workload felt over the past week?
  5. How would you rate your energy and focus at work this week?

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