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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.

Sample questions

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

23 questions · ~10 min
Q01
Message

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
Multiple Choice

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
Opinion Scale

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

Scale: 17
Min:Very poorMax:Excellent
Q04
Opinion Scale

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

Scale: 17
Min:Very dissatisfiedMax:Very satisfied
Q05
Multiple Choice

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
Ranking

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
Drag to rank
Q07
AI Interview

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
Multiple Choice

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
Message

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

Q10
Dropdown

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
Opinion Scale

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

Scale: 17
Min:Very poorMax:Excellent
Q12
Opinion Scale

How satisfied are you with the lighting in your workspace?

Scale: 17
Min:Very dissatisfiedMax:Very satisfied
Q13
Multiple Choice

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
Dropdown

Which department do you primarily work in?

  • Operations
  • Facilities
  • Engineering / IT
  • Sales / Marketing
  • HR / People
  • Finance
  • Customer Support
  • Other
  • Prefer not to say
Q15
Opinion Scale

How would you rate the cleanliness of the restrooms?

Scale: 17
Min:Very poorMax:Excellent
Q16
Opinion Scale

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

Scale: 17
Min:Very dissatisfiedMax:Very satisfied
Q17
Multiple Choice

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
Multiple Choice

Which best describes your role level?

  • Individual contributor
  • Team lead or supervisor
  • Manager or director
  • Senior leadership or executive
  • Prefer not to say
Q19
Opinion Scale

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

Scale: 17
Min:Very poorMax:Excellent
Q20
Opinion Scale

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

Scale: 17
Min:Very dissatisfiedMax:Very satisfied
Q21
Opinion Scale

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

Scale: 17
Min:Very dissatisfiedMax:Very satisfied
Q22
Multiple Choice

What is your employment status?

  • Full-time
  • Part-time
  • Contractor
  • Intern / Apprentice
  • Prefer not to say
Q23
Opinion Scale

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

Scale: 17
Min:Very poorMax:Excellent

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.

Ready to launch?

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