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Workplace Culture Health Assessment

Measures how employees actually experience company culture — psychological safety, values alignment, manager reinforcement, and day-to-day behavior — not just stated policy. An AI follow-up interview digs into the story behind the most telling rating, surfacing specific moments that a scale alone can't capture.

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Workplace Culture Health Assessment

Thanks for taking a few minutes to share how our workplace culture actually feels day to day. Your responses are completely confidential and anonymized. Your answers are used to spot what's working and what needs attention — honest input is what makes this useful. About 6-8 minutes.

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デフォルト テーマ。色とフォントは自由に変更できます。

設問の例

テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。

全11問・約7分
メッセージ

Thanks for taking a few minutes to share how our workplace culture actually feels day to day. Your responses are completely confidential and anonymized. Your answers are used to spot what's working and what needs attention — honest input is what makes this useful. About 6-8 minutes.

Q01
オピニオンスケール必須

How likely are you to recommend this company to a friend as a great place to work?

スケール: 0 – 10
最小:Not at all likely最大:Extremely likely
Q02
マトリクス必須

How much do you agree with each statement about your day-to-day experience here?

5行 × 5列
  • I feel safe raising concerns or disagreeing with my manager
  • Leaders here model the values they say they hold
  • My team collaborates effectively across departments
  • Good work gets noticed and recognized
  • Decisions that affect me are made transparently
列: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q03
選択式必須

In the last 3 months, how often have you seen someone's behavior clash with a value the company claims to hold, with no visible consequence?

  • Never
  • Once
  • A few times
  • Regularly
  • I'm not sure
Q04
ベスト・ワースト選択（MaxDiff）必須

From this list of things our company says it values, pick the one you see lived out most in practice, and the one you see least.

  • Transparency in decision-making
  • Work-life balance
  • Innovation and risk-taking
  • Customer obsession
  • Collaboration over internal competition
  • Accountability for mistakes
  • Recognition of good work
  • Diversity and inclusion
各セットで最も良いもの・最も悪いものを選択最も良い:Most lived out最も悪い:Least lived out
Q05
選択式必須

When there's disagreement or conflict on your team, how is it typically handled?

  • Addressed directly and openly in the moment
  • Escalated to a manager to resolve
  • Avoided or smoothed over without real resolution
  • Left to fester until it becomes a bigger issue
  • Varies too much to say
Q06
評価スケール必須

How would you rate your direct manager's ability to build a healthy team culture (trust, fairness, communication)?

範囲: 1 – 5
最小:Very poor最大:Excellent
Q07
選択式必須

How comfortable would you feel giving honest, critical feedback directly to senior leadership?

  • Very uncomfortable
  • Somewhat uncomfortable
  • Neutral
  • Somewhat comfortable
  • Very comfortable
Q08
AIインタビュー

Probe the reasoning behind the respondent's recommendation likelihood score and their psychological safety rating. Ask for a specific recent example — a moment they felt genuinely supported or unsupported, or a time they held back from speaking up — and what happened as a result. If they flagged a values-behavior gap or picked a least-lived-out value, ask what a leader could concretely do differently. If everything scored very positively with no specifics, probe gently for anything that felt 'off' recently.

Q09
プルダウン

Which department or team are you part of? (Optional — helps us spot team-level patterns.)

  • Engineering / Product
  • Sales
  • Marketing
  • Customer Support
  • Operations
  • Finance / Legal
  • People / HR
  • Other
  • Prefer not to say
Q10
選択式

How long have you been with the company?

  • Less than 6 months
  • 6 months to 2 years
  • 2-5 years
  • More than 5 years
  • Prefer not to say
Q11
選択式

Which best describes your role level?

  • Individual contributor
  • People manager
  • Senior leader / executive
  • Prefer not to say
メッセージ

That's everything — thank you for the honesty. Responses are aggregated into a culture health report shared with leadership so specific, fixable issues (not just vibes) get acted on.

含まれる機能

  • AIによる深掘り

    自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。

  • 注意確認設問

    急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。

  • AIが作成する設問文

    文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。

  • 自動レポート

    回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。

他ツールとの比較

ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。

このテンプレートを選ぶ理由

  • Includes an AI follow-up interview that probes the reasoning behind the recommendation-likelihood score, surfacing specific stories a scale alone can't capture
  • Combines quantitative measures (opinion scale, matrix, rating, max-diff) with qualitative depth in a single flow, so you get both the 'what' and the 'why'
  • Asks concrete, behavior-based questions (value-clash frequency, conflict handling, comfort giving feedback to senior leaders) rather than only abstract policy statements
  • Segments by department, tenure, and role level so you can spot where culture breaks down, then auto-generates a report from aggregated responses

Jotform

Business Health Assessment Survey Form Template

A general business-health form that touches on organizational and operational wellbeing rather than being purpose-built for culture diagnostics. It's a ready-to-field static form builder template, useful as a starting point but not tailored to psychological safety or manager-culture dynamics. Best suited to teams wanting a broad health check rather than a deep culture read.

優れている点

  • Ready-to-use, fieldable form template with Jotform's drag-and-drop builder
  • Broad business-health framing that could appeal to non-HR stakeholders
  • Easy to embed and customize like other Jotform templates

物足りない点

  • Static question set with no adaptive follow-up to dig into a specific low or high rating
  • No voice AI interview option or guided screen-share tasks
  • No automated per-response quality scoring or transparent prompt methodology

Typeform

Business Culture Survey Form

A conversational-style form focused on business culture, leveraging Typeform's one-question-at-a-time UX to keep completion friendly. It's a fielding-ready static template, not an AI-driven interview, so it collects self-reported ratings without probing further. Good for lightweight pulse checks but limited for uncovering the story behind an answer.

優れている点

  • Polished, conversational one-question-at-a-time interface that boosts completion rates
  • Fieldable out of the box with Typeform's known design quality
  • Simple sharing and embedding across channels

物足りない点

  • No adaptive AI follow-up questioning — every respondent sees the same fixed question sequence
  • No voice interview or guided task capability
  • No built-in automated quality scoring of open-ended responses

QuestionPro

Organizational Culture Assessment Survey Template

A dedicated organizational culture template covering standard dimensions like values, leadership, and engagement, positioned as a ready-to-use survey. It relies on fixed rating and multiple-choice items rather than dynamic probing, so nuance behind any given score has to be inferred rather than asked for directly. Solid for benchmarking but static by design.

優れている点

  • Purpose-built for organizational culture assessment, so question coverage is topically relevant
  • Ready-to-field template within QuestionPro's established survey platform
  • Likely includes standard reporting/analytics dashboards typical of QuestionPro

物足りない点

  • No adaptive AI follow-up interview to explore the reasoning behind a specific rating
  • No voice AI interview or guided screen-share task option
  • No transparent, published prompt methodology or automated response-quality scoring

よくあるご質問

「Workplace Culture Health Assessment」テンプレートにはどのような設問が含まれていますか？

すぐに使える設問が11問含まれており、最初の設問は次のとおりです：「How likely are you to recommend this company to a friend as a great place to work?」・「How much do you agree with each statement about your day-to-day experience here?」・「In the last 3 months, how often have you seen someone's behavior clash with a value the company claims to hold, with no…」。すべての設問は上でプレビューでき、自由に編集できます。

このアンケートの回答にはどのくらい時間がかかりますか？

回答者は通常、11問を約7分で回答し終えます。

テンプレートは編集できますか？

はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。

このテンプレートは無料で使えますか？

はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。

公開の準備はできましたか？

このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。

このテンプレートを使う無料で始める

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