Q01
Message
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Employee Job Stress and Burnout Diagnostic Survey
Measures how stressed employees feel at work, what's actually driving it, and how burnout shows up day to day — built for HR and people teams tracking well-being over time. The AI follow-up interview digs into a specific recent stressful moment behind each person's top stressor, surfacing detail closed questions can't capture.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
14 questions · ~7 min
Q02
Opinion ScaleRequired
Thinking about the past 30 days, how would you rate your overall stress level at work?
Scale: 1 – 10
Min:No stress at allMax:Overwhelming, unmanageable stress
Q03
MatrixRequired
How much of a source of stress is each of the following in your current role?
7 rows × 4 columns
- Workload and deadlines
- Lack of control over how work gets done
- Unclear expectations or priorities
- Interpersonal conflict with colleagues or managers
- Job security concerns
- +2 more
Columns: Not a source · Minor source · Moderate source · Major source
Q04
Multiple ChoiceRequired
In the last 30 days, how often have you felt so overwhelmed at work that it affected your ability to concentrate or complete tasks?
- Never
- Rarely (a few times)
- Sometimes (about once a week)
- Often (several times a week)
- Daily or almost daily
Q05
Multiple Choice
Which of the following have you experienced because of work stress in the last 30 days? Select all that apply.
- Trouble sleeping
- Physical symptoms (headaches, stomach issues, fatigue)
- Irritability or short temper
- Difficulty focusing or forgetfulness
- Withdrawing from colleagues or friends
- Increased use of caffeine, alcohol, or other substances to cope
- Thoughts of quitting or looking for another job
Q06
Rating ScaleRequired
How well does your manager support you in managing your workload and stress?
Range: 1 – 5
Min:Not supportive at allMax:Extremely supportive
Q07
Best–Worst Trade-off (MaxDiff)Required
From the list below, which changes would do the most — and least — to reduce your work stress?
- More realistic workload or deadlines
- Clearer priorities and expectations
- More flexibility in work schedule or location
- Better recognition and compensation
- More support from my manager
- More staffing or headcount on my team
- Better tools or processes to reduce inefficiency
- More say in decisions that affect my work
Pick best & worst per setBest:Would reduce my stress the mostWorst:Would reduce my stress the least
Q08
Point AllocationRequired
If your organization had 100 points worth of budget and effort to spend on reducing employee stress, how would you allocate it across these areas?
- Hiring more staff
- Manager training and support
- Flexible work arrangements
- Compensation and benefits
- Mental health resources (EAP, counseling)
- Workload or process redesign
Allocate 100 points
Q09
AI Interview
Identify the single biggest source of this respondent's work stress right now, anchoring on whatever they flagged as a major stressor or burnout symptom above, and reconstruct one specific recent instance: what happened, what made it stressful, and what they did (or wished they could do) about it. If they report low or no stress, probe what's currently keeping it low so those conditions can be replicated for others.
Q10
Long Text
Is there anything about your work stress, or what would help, that we haven't asked about?
Q11
Dropdown
Which department or team do you primarily work in? (Template note: replace with your organization's actual department list before launching.)
- Sales
- Marketing
- Operations
- Customer Support
- Engineering/Product
- Finance/HR
- Other
- Prefer not to say
Q12
Multiple Choice
How long have you worked at this organization?
- Less than 6 months
- 6 months to 1 year
- 1-3 years
- 3-5 years
- 5+ years
- Prefer not to say
Q13
Multiple Choice
What is your primary work arrangement?
- Fully on-site
- Hybrid
- Fully remote
- Prefer not to say
Q14
Message
Thank you for sharing this with us. Responses are aggregated into a report the people and leadership teams use to reduce sources of stress and improve support — individual answers are never shared with your manager.
What’s included
AI follow-ups
Adaptive probes on open-ended answers that pull out detail a static form would miss.
Attention checks
Built-in safeguards against rushed answers and low-quality respondents.
AI-drafted copy
Wording, ordering, and branching written by the AI — tuned to your research goal.
Auto report
Themes, quotes, and a plain-English summary write themselves once responses come in.
How it compares
We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.
Why this template
- Pairs standardized quantitative measures (30-day stress rating, a stressor matrix, max-diff prioritization of fixes, and a 100-point budget-allocation exercise) with an AI follow-up interview that digs into the specific recent moment behind each respondent's top stressor — detail closed questions can't capture.
- Includes a manager-support rating and a dedicated open-ended catch-all question, so nuance that doesn't fit the structured items still gets captured.
- Built specifically for HR/people teams tracking well-being over time, with department, tenure, and work-arrangement breakdowns baked in.
- Responses roll into an auto-generated report, and every AI follow-up prompt is transparent rather than a black box.
SurveySparrow
Work Stress Questionnaire Template | Printable PDF FormsA printable/PDF-oriented work stress questionnaire template rather than an adaptive digital diagnostic. Useful as a quick, static starting point for a basic pulse check, but it's positioned around printable forms, not longitudinal tracking or automated analysis.
What it does well
- Quick to set up and deploy as a ready-made template
- Printable/PDF format supports offline or paper-based distribution
- Backed by a broader survey platform with multi-channel distribution options
Where it falls short
- Static question set with no adaptive follow-up probing into individual stressors
- No AI-driven interview or voice interview option to surface situational detail
- No automated per-response quality scoring or auto-generated diagnostic report evident
QuestionPro
Work Stress Survey Questions for QuestionnaireReads as a curated bank of job-stress survey questions rather than a single fielding-ready diagnostic instrument. It's a helpful reference for question wording, but appears to require assembling and configuring a survey yourself rather than launching a pre-built end-to-end diagnostic.
What it does well
- Large library of job-stress-specific question examples to draw from
- Backed by an established enterprise survey platform with logic and panel options
- Workplace-focused framing aligned to HR use cases
Where it falls short
- Presented as a question list/guide rather than a turnkey adaptive diagnostic
- No adaptive AI interview to follow up on an individual's specific top stressor
- No transparent AI prompt methodology or automated qualitative scoring described
SurveyMonkey
Stress Survey Template & QuestionsA general-purpose stress survey template that can be adapted to workplace contexts, backed by SurveyMonkey's mature analytics and distribution tools. It's a static questionnaire, though, without any mechanism to probe deeper into an individual's specific stress triggers.
What it does well
- Easy to customize within a widely used, familiar survey builder
- Established analytics dashboards for aggregate reporting
- Broad distribution and integration options via the SurveyMonkey ecosystem
Where it falls short
- Static closed-question format with no adaptive AI follow-up on individual stressors
- No voice AI interview or guided screen-share task option
- No automated per-response qualitative scoring or transparent AI prompt disclosure
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.