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Coronavirus Work-From-Home Check-In Survey

A pulse check for employees working remotely or on-site during the pandemic, covering productivity, equipment, isolation, and manager support. An AI follow-up interview digs into each person's specific biggest challenge so HR gets concrete, fixable detail instead of a generic satisfaction score.

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Sample questions

A preview of what’s in the template. Every question is editable before you launch.

12 questions · ~7 min
Q01
Message

Thanks for taking a few minutes to check in about how work is going for you during the pandemic. Your honest answers help us adjust support and policies. This should take about 5 minutes.

Q02
Multiple ChoiceRequired

Which best describes your current work setup right now?

  • Working from home full-time
  • Hybrid — some days home, some days on-site
  • Working on-site full-time
  • Furloughed or on leave
Q03
Opinion ScaleRequired

Compared to before the pandemic, how would you rate your overall productivity right now?

Scale: 1 – 7
Min:Much less productiveMax:Much more productive
Q04
MatrixRequired

How much do you agree with each statement about your current work situation?

5 rows × 5 columns
  • I have the equipment and tools I need to do my job
  • I feel adequately informed about company plans and safety policies
  • My manager checks in with me the right amount — not too little, not too much
  • I can maintain a healthy boundary between work and personal time
  • I feel connected to my team despite the current setup
Columns: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q05
Multiple Choice

In the last two weeks, which of these have been challenges for you? Select all that apply.

  • Unreliable internet or technology
  • Childcare or caregiving responsibilities
  • Difficulty separating work and personal time
  • Feeling isolated from coworkers
  • Unclear expectations from my manager
  • Health or safety concerns for myself or family
  • Motivation or focus
Q06
Opinion ScaleRequired

In the last two weeks, how often have you felt isolated or disconnected from your colleagues?

Scale: 1 – 5
Min:NeverMax:Very often
Q07
Rating ScaleRequired

How would you rate your company's communication about health, safety, and work expectations during the pandemic?

Range: 1 – 5
Min:Very poorMax:Excellent
Q08
AI Interview

Ask the respondent to walk through a specific recent day where they ran into the biggest challenge they selected above: what happened, how it affected their work, and what would have made it easier. If they reported feeling isolated, probe what kind of connection with colleagues they actually wish they had. If they say things are going smoothly, ask what's working best for them so it can be reinforced for others.

Q09
Multiple Choice

Looking ahead, what is your preferred long-term work arrangement once it's safe to fully return to the office?

  • Fully remote
  • Hybrid (mix of home and office)
  • Fully on-site
  • Not sure yet
Q10
Multiple Choice

Which department or team are you part of?

  • (Replace with Department A)
  • (Replace with Department B)
  • (Replace with Department C)
  • Prefer not to say
Q11
Multiple Choice

How long have you been with the company?

  • Less than 6 months
  • 6 months to 2 years
  • 2 to 5 years
  • More than 5 years
  • Prefer not to say
Q12
Message

Thank you for sharing how things are going. Your responses are kept confidential and will be used by HR and leadership to adjust tools, communication, and support for remote and hybrid work.

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 static satisfaction scores with an AI follow-up interview that asks each respondent to walk through a specific recent day they hit a challenge, surfacing concrete, fixable detail instead of a generic rating
  • Combines quantitative pulse metrics (productivity opinion scale, agreement matrix, communication rating, isolation frequency) with open-ended probing in a single flow
  • Segments by department and tenure so HR can see whether isolation, equipment, or manager-support issues cluster in specific teams
  • Captures forward-looking intent (preferred long-term work arrangement) alongside current-state pain points, giving HR both a diagnosis and a planning input

SurveyMonkey

Remote Work Check-In Survey Template

A ready-to-field static template covering remote work check-in topics similar in spirit to ours. It relies on fixed question types (ratings, choice questions) rather than any adaptive follow-up, so every respondent gets the same question set regardless of their answers. Good for quick benchmarking but not for digging into individual pain points.

What it does well

  • Well-known, easy-to-launch survey platform with broad template library
  • Fielding-ready template requiring no custom build
  • Familiar UI likely to have high completion rates from respondents

Where it falls short

  • No adaptive AI follow-up questioning — every respondent answers the identical static question set
  • No voice AI interview option or guided screen-share tasks
  • No published methodology on how responses are scored or synthesized into a report

QuestionPro

Work from home check in survey template + Sample questionnaire

A sample questionnaire covering similar WFH pulse-check themes (productivity, support, setup). It's presented as a static question set for researchers to copy or adapt rather than an interactive interview experience. Useful as a question-bank reference but doesn't probe individual respondents further.

What it does well

  • Established survey research platform with enterprise features
  • Sample questionnaire provides a useful starting question bank
  • Supports standard cross-tab and dashboard reporting on responses

Where it falls short

  • No adaptive AI follow-up interview — respondents can't be probed on their specific biggest challenge
  • No voice AI interview capability
  • No per-response automated quality scoring or transparent prompt methodology

Jotform

300+ Coronavirus Response Forms

This is a large directory/category page of coronavirus-related forms (health screenings, response forms, check-ins), not a single dedicated WFH pulse-check template — a researcher would need to search through it to find something comparable and then customize it. It shows Jotform's broad form-building flexibility but no purpose-built WFH check-in with follow-up depth.

What it does well

  • Large library of customizable form templates across many coronavirus-related use cases
  • Flexible drag-and-drop form builder for tailoring any template found
  • Supports embedding conditional logic within static form fields

Where it falls short

  • Not a single fielding-ready WFH check-in template — requires searching/curating from a general directory
  • No adaptive AI interviewing or voice AI follow-up on any listed form
  • No automated per-response quality scoring or generated analytical report

Ready to launch?

Open this template in the editor. Every part is yours to change before the first respondent sees it.

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