This printable workplace wellbeing survey helps HR teams and managers check in on employee wellbeing and stress in 18 questions across three pages, including feedback from staff who rarely fill in online forms. It takes about six minutes to complete and gives a clear read on how people are really doing.
What this survey measures
The questions cover the everyday drivers of wellbeing at work: whether workloads feel manageable, how easy it is to take breaks and time off, unhealthy stress levels, support from managers and colleagues, whether the company is seen to care, and the ability to switch off outside working hours. A second grid covers recognition, working hours, resources and knowing where to turn, and an optional before-and-after table compares stress, balance and wellbeing with six months ago. A short habits section asks about breaks, evening messages, rest and sleep. An overall wellbeing rating gives you a simple number to track over time, and two open comment boxes capture the practical changes people want to see.
How to use it on paper
Hand the survey out in team meetings, leave copies in the break room with a sealed collection box, or include it in an onboarding or annual review pack. Ask staff to fill the checkboxes with a blue or black pen. To protect anonymity, avoid collecting identifying details and report results for groups large enough to protect individual responses. Collect the completed forms and scan them in batches: PaperSurvey reads the checkbox answers with optical mark recognition and converts the 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 questions about specific teams, remote work, or benefits. 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 measuring workplace wellbeing today.