すべてのテンプレート
Operations & Data

Workplace Facility Condition & Maintenance Response Survey

Measures employee perceptions of facility cleanliness, environmental comfort, and maintenance responsiveness over a 30-day recall period to help facility and operations teams identify and prioritize improvement areas.

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23問・約10分
Q01
メッセージ

Welcome to the Workplace Facility Experience Survey. This survey asks about your experience with facility cleanliness, comfort, and maintenance over the past 30 days. Your responses are anonymous, reported only in aggregate, and used internally to prioritize facility improvements. Participation is voluntary and you may stop at any time. There are no right or wrong answers—we simply want your honest perspective. Estimated time: 6–8 minutes.

Q02
選択式

Where do you primarily work?

  • HQ or main office
  • Regional or satellite office
  • Shared or co-working space
  • Warehouse or industrial site
  • Hybrid across multiple sites
  • Remote (no fixed site)
Q03
オピニオンスケール

Overall, how would you rate the cleanliness of your workplace facility?

スケール: 1 – 7
最小:Very poor最大:Excellent
Q04
オピニオンスケール

How satisfied are you with the temperature and climate control in your workspace?

スケール: 1 – 7
最小:Very dissatisfied最大:Very satisfied
Q05
選択式

Which of the following issues, if any, did you notice at your workplace? Select all that apply.

  • Spill or mess not addressed
  • Trash overflow
  • Supplies out of stock (e.g., soap, paper towels)
  • HVAC issue (too hot or too cold)
  • Lighting or electrical issue
  • Noise disturbance
  • Pest sighting
  • Restroom cleanliness issue
  • None of the above
Q06
ランク付け

Please rank the following improvement areas by priority (1 = highest priority).

  1. Increase cleaning frequency
  2. Improve restroom upkeep
  3. Better restocking of supplies
  4. Faster maintenance response times
  5. Improve temperature and climate control
ドラッグして順位を付ける
Q07
AIインタビュー

Based on your responses in this survey, please share any additional thoughts about your workplace facility experience. What one change would make the biggest difference to your daily comfort?

Q08
選択式

How long have you worked at the company?

  • Less than 6 months
  • 6–12 months
  • 1–3 years
  • 3–5 years
  • More than 5 years
  • Prefer not to say
Q09
メッセージ

Thank you for completing this survey. Your feedback will be used to prioritize facility improvements over the coming quarter.

Q10
プルダウン

Approximately how many days were you on-site in the past 30 days?

  • 0 days
  • 1–5 days
  • 6–10 days
  • 11–15 days
  • 16–20 days
  • 21–25 days
  • 26–30 days
Q11
オピニオンスケール

How would you rate the cleanliness of your workstation or desk area?

スケール: 1 – 7
最小:Very poor最大:Excellent
Q12
オピニオンスケール

How satisfied are you with the lighting in your workspace?

スケール: 1 – 7
最小:Very dissatisfied最大:Very satisfied
Q13
選択式

How do you usually report facility or comfort issues?

  • Helpdesk or ticketing portal
  • Email
  • Chat (e.g., Slack or Teams)
  • Phone
  • In person
  • I typically do not report issues
Q14
プルダウン

Which department do you primarily work in?

  • Operations
  • Facilities
  • Engineering / IT
  • Sales / Marketing
  • HR / People
  • Finance
  • Customer Support
  • Other
  • Prefer not to say
Q15
オピニオンスケール

How would you rate the cleanliness of the restrooms?

スケール: 1 – 7
最小:Very poor最大:Excellent
Q16
オピニオンスケール

How satisfied are you with the noise level in your workspace?

スケール: 1 – 7
最小:Very dissatisfied最大:Very satisfied
Q17
選択式

For the most recent issue you reported, how quickly did you receive an initial response?

  • Within 4 hours
  • Within 1 business day
  • 2–3 business days
  • 4–5 business days
  • More than 5 business days
  • Not resolved yet
  • I did not report an issue
Q18
選択式

Which best describes your role level?

  • Individual contributor
  • Team lead or supervisor
  • Manager or director
  • Senior leadership or executive
  • Prefer not to say
Q19
オピニオンスケール

How would you rate the cleanliness of break rooms or kitchen areas?

スケール: 1 – 7
最小:Very poor最大:Excellent
Q20
オピニオンスケール

How satisfied are you with the seating and ergonomic setup at your workstation?

スケール: 1 – 7
最小:Very dissatisfied最大:Very satisfied
Q21
オピニオンスケール

Overall, how satisfied are you with how quickly and effectively facility issues are addressed?

スケール: 1 – 7
最小:Very dissatisfied最大:Very satisfied
Q22
選択式

What is your employment status?

  • Full-time
  • Part-time
  • Contractor
  • Intern / Apprentice
  • Prefer not to say
Q23
オピニオンスケール

How would you rate the cleanliness of meeting rooms and common areas?

スケール: 1 – 7
最小:Very poor最大:Excellent

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

  • Covers cleanliness across five distinct zones (workstation, restrooms, break rooms, meeting rooms, overall facility) rather than a single general rating
  • Includes a structured maintenance-responsiveness track: how issues are reported, how quickly they were addressed, and satisfaction with resolution speed
  • Uses a ranking question to force-prioritize improvement areas, giving facility teams a clear action list instead of just averages
  • Closes with an AI follow-up interview that adapts to each respondent's prior answers, surfacing specifics that fixed-choice questions can't capture

Jotform

800+ Facility Management Forms

This is a broad template gallery/category page for facility management forms rather than a single ready-to-field employee perception survey. It's useful as a starting point for building maintenance request or inspection forms, but requires selecting and customizing an individual form to match a structured 30-day employee-experience study.

優れている点

  • Large library covering many facility-related use cases (inspections, requests, checklists)
  • Drag-and-drop form builder allows quick customization of chosen templates
  • Established platform with broad integration and distribution options

物足りない点

  • Static form fields only — no adaptive follow-up questioning to probe vague or negative responses
  • No built-in voice AI interview option or automated per-response quality scoring
  • As a category page, no single template is purpose-built to measure cleanliness, comfort, and maintenance responsiveness together with department/tenure segmentation

よくあるご質問

「Workplace Facility Condition & Maintenance Response Survey」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23問含まれており、最初の設問は次のとおりです:「Welcome to the Workplace Facility Experience Survey. This survey asks about your experience with facility cleanliness,…」・「Where do you primarily work?」・「Overall, how would you rate the cleanliness of your workplace facility?」。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、23問を約10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。

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