Q01
Message
All templates
Employee Workplace Culture and Belonging Survey
Measures how employees actually experience trust, psychological safety, recognition, and belonging day-to-day — not just stated values on a poster. An AI follow-up interview digs into the specific moment behind each person's overall culture score so HR and people teams get real stories, not just numbers.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
13 questions · ~7 min
Q02
Opinion ScaleRequired
How likely are you to recommend this organization to a friend as a great place to work?
Scale: 0 – 10
Min:Not at all likelyMax:Extremely likely
Q03
MatrixRequired
How much do you agree with each statement about your day-to-day experience at work?
6 rows × 5 columns
- I trust the decisions my manager makes
- I feel safe raising a disagreeing opinion in team discussions
- I am recognized for good work, not just called out for mistakes
- People here are treated fairly regardless of background
- I can maintain a healthy balance between work and personal life
- +1 more
Columns: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q04
Multiple ChoiceRequired
In the last 30 days, how often did you feel comfortable voicing a disagreeing opinion in a team meeting?
- Never
- Rarely
- Sometimes
- Often
- Always
Q05
Rating ScaleRequired
Overall, how much do you feel you belong on your team?
Range: 1 – 5
Min:Not at allMax:Completely
Q06
Ranking
Rank the following in order of what matters most to you in your day-to-day work experience, from most to least important.
- Trust in leadership
- Opportunities to grow
- Fair recognition for good work
- Work-life balance
- Feeling included and respected
- Compensation fairness
Drag to rank
Q07
Multiple Choice
When there's a disagreement between team members, what typically happens?
- It gets addressed directly and resolved
- It gets raised to a manager to resolve
- It gets avoided or ignored
- It escalates and lingers unresolved
- Not sure / haven't seen this happen
Q08
AI Interview
Ask the respondent to describe one specific, recent moment that shaped the score they gave for recommending this organization as a place to work — what happened, who was involved, and how it made them feel. If they rated trust, psychological safety, or belonging low in earlier questions, probe what single change would most improve that day-to-day experience. If they gave a high overall score, ask what a manager or colleague did that they'd want to see repeated more often across the team.
Q09
Multiple Choice
Which department or function do you work in? (Template note: replace with your organization's actual department list before launching.)
- Engineering
- Sales
- Marketing
- Operations
- Customer Support
- HR / People
- Prefer not to say
Q10
Multiple Choice
How long have you been with the organization?
- Less than 6 months
- 6 months to 1 year
- 1-3 years
- 3-5 years
- More than 5 years
- Prefer not to say
Q11
Multiple Choice
What is your employment type?
- Full-time
- Part-time
- Contract or temporary
- Intern
- Prefer not to say
Q12
Multiple Choice
What best describes your typical work arrangement?
- Fully remote
- Hybrid
- Fully on-site
- Prefer not to say
Q13
Message
That's everything — thank you for your honesty. Your responses will be combined with your colleagues' answers and shared with leadership as anonymized themes to guide real changes to how we work together.
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
- Goes beyond a single culture score with an AI follow-up interview that asks each respondent to describe one specific, recent moment behind their rating, turning numbers into concrete stories for HR
- Combines a matrix of day-to-day experience statements, a belonging rating, an eNPS-style recommend question, and a ranking of what matters most, so trust/safety/recognition/belonging are measured from multiple angles, not just one 'culture' item
- Includes a multiple-choice question on how conflict and disagreement actually play out on teams, plus a 30-day frequency check on speaking up, capturing psychological safety in behavioral terms rather than agree/disagree abstractions
- Uses transparent, viewable AI prompts and automated per-response quality scoring, with an auto-generated report and standard demographic/role/tenure breakdowns built in for segmentation
Jotform
Workplace Culture Quiz Form TemplateA ready-to-use, customizable form for gauging workplace culture perceptions, built on Jotform's drag-and-drop form builder. It's framed as a lightweight 'quiz' rather than a structured research instrument, so question design and analysis are left largely to the user. No mention of adaptive follow-up or qualitative probing.
What it does well
- Easy to customize and embed via Jotform's widely-used form builder
- Quick to deploy for a simple culture pulse-check
- Familiar drag-and-drop editing for non-researchers
Where it falls short
- Static question set with no adaptive follow-up to explore the 'why' behind a score
- No voice AI interview option or guided screen-share tasks
- No built-in per-response quality scoring or automated qualitative report
QuestionPro
Work culture survey templateA structured survey template covering work culture themes, aimed at HR teams wanting a fielding-ready instrument on QuestionPro's platform. It offers standard question types and QuestionPro's broader survey analytics, but is a fixed questionnaire rather than one that adapts to each respondent's answers.
What it does well
- Purpose-built template specifically for work culture measurement
- Backed by QuestionPro's established survey analytics and reporting suite
- Supports standard demographic segmentation
Where it falls short
- No adaptive AI follow-up interview to surface specific moments behind a culture score
- No voice AI interview format
- Prompt/methodology transparency and automated response quality scoring aren't part of the offering
SurveySparrow
A Complete Guide to Company Culture Survey With 20+ Sample QuestionsThis page is primarily an educational guide with sample question ideas for company culture surveys, not a single fielding-ready template — useful for inspiration but requiring assembly before it can be launched. It does point to SurveySparrow's conversational survey format for delivery.
What it does well
- Large bank of sample questions covering multiple culture dimensions
- Conversational, chat-style survey delivery available on SurveySparrow
- Educational framing helps teams think through what to ask
Where it falls short
- A guide/question list rather than a ready-to-launch structured template
- No adaptive AI interview digging into the specific story behind a score
- No documented per-response quality scoring or transparent AI prompt methodology
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.