Q01
Message
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Work From Home Efficiency and Productivity Survey
Measures how productive, focused, and supported employees feel while working remotely, and pinpoints the specific barriers eating into their day. An AI follow-up interview digs into the single biggest barrier each person identifies, reconstructing a real recent workday instead of relying on generalized complaints.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
13 questions · ~7 min
Q02
Multiple ChoiceRequired
In a typical week, how many days do you work from home?
- 0 days
- 1-2 days
- 3-4 days
- 5 days (fully remote)
Q03
Opinion ScaleRequired
Compared to working from an office or shared workspace, how would you rate your overall productivity when working from home?
Scale: 0 – 10
Min:Much less productiveMax:Much more productive
Q04
MatrixRequired
How much do you agree with each statement about your remote work setup?
5 rows × 5 columns
- I can focus without frequent interruptions
- I have reliable technology and tools
- I can collaborate easily with teammates
- I maintain a healthy work-life balance
- I have a dedicated, ergonomic workspace
Columns: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q05
Best–Worst Trade-off (MaxDiff)Required
Which of these gets in the way of your productivity the most, and which the least?
- Home distractions (family, chores, pets)
- Unreliable internet or technology
- Lack of a separate workspace
- Too many virtual meetings
- Difficulty collaborating with colleagues
- Blurred boundaries between work and personal time
- Lack of manager visibility or trust
- Feeling isolated or lonely
Pick best & worst per setBest:Biggest barrier to my productivityWorst:Least of a barrier
Q06
Point AllocationRequired
Thinking of a typical 8-hour workday, how do you actually spend your time? Split 100 points across these categories based on how much time each really takes.
- Focused individual work
- Meetings and calls
- Email and messaging
- Administrative tasks
- Breaks and personal time
Allocate 100 points
Q07
Rating ScaleRequired
How would you rate your home internet connection and work technology (laptop, monitor, software access)?
Range: 1 – 5
Min:Very inadequateMax:Excellent
Q08
Number
On average, how many hours do you work in a typical week, including any after-hours or weekend work?
Q09
Multiple ChoiceRequired
In the last 5 workdays, how many times did you lose 7 minutes or more of focus due to a home distraction?
- 0 times
- 1-2 times
- 3-5 times
- 6-10 times
- More than 10 times
Q10
AI Interview
Anchor on the barrier the respondent ranked as biggest in the best-worst trade-off question and ask them to walk through the last time it actually disrupted their work: what they were trying to do, what happened, and how they recovered (or didn't). If their productivity rating was low, probe whether it stems from that same barrier or something separate. Push past generic answers like 'distractions' to get a concrete, specific incident.
Q11
Multiple Choice
Which best describes your role or department?
- (Replace with Department A, e.g. Sales)
- (Replace with Department B, e.g. Engineering)
- (Replace with Department C, e.g. Customer Support)
- Other
- Prefer not to say
Q12
Multiple Choice
How long have you been working remotely in your current role?
- Less than 6 months
- 6 months to 1 year
- 1-3 years
- More than 3 years
- Prefer not to say
Q13
Message
That's everything — thank you! Your responses will be combined into a report on how we can better support remote and hybrid work across the team.
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 generic satisfaction checklist by using a max-diff trade-off to identify each respondent's single biggest productivity barrier, then an AI follow-up interview digs into that specific barrier by reconstructing a real recent workday instead of relying on generalized complaints.
- Combines quantitative structure (matrix agreement ratings, constant-sum time allocation across an 8-hour day, opinion scale comparison to office work) with open-ended depth, so you get both benchmarkable metrics and rich qualitative context.
- Captures concrete behavioral signals — like how many times focus was lost 15+ minutes in the last 5 workdays and how work hours actually break down — rather than only asking respondents to self-rate abstractly.
- Automated per-response quality scoring and an auto-generated report mean the nuanced AI interview answers get synthesized for you, not left as a pile of unstructured text to manually code.
QuestionPro
Work from home efficiency survey template + Sample questionnaireA ready-to-field sample questionnaire covering WFH efficiency topics similar in theme to ours. It's a static question set aimed at broad benchmarking rather than probing any individual respondent's specific situation in depth. Good starting point if you just need standard questions to launch quickly.
What it does well
- Purpose-built WFH efficiency questionnaire
- Established survey platform with broad question-library support
- Likely offers customization within their standard survey builder
Where it falls short
- Fixed question set with no adaptive follow-up that reconstructs a respondent's actual workday
- No mention of voice AI interviewing or automated per-response quality scoring
- No transparent, inspectable interview prompts
SurveyMonkey
Remote Work Check-In Survey TemplateFramed as a check-in survey, originally built for pandemic-era remote work monitoring, so it leans toward pulse/wellbeing tracking rather than a deep dive on productivity barriers. It's a static template usable within SurveyMonkey's standard builder. Useful for quick, recurring check-ins rather than root-cause diagnosis.
What it does well
- Simple, quick check-in format
- Backed by a well-known, widely used survey platform
- Easy to distribute to large employee populations
Where it falls short
- No adaptive AI follow-up to dig into an individual's specific biggest barrier
- No structured trade-off ranking (e.g., max-diff) to isolate the top productivity blocker
- No automated quality scoring or AI-generated synthesis of open responses
SurveySparrow
Work From Home Survey TemplateA conversational-style WFH experience template, consistent with SurveySparrow's chat-like survey format. It covers general remote work experience questions but appears to be a fixed script rather than one that adapts based on each respondent's flagged biggest issue. Reasonable for a lightweight experience pulse rather than a diagnostic productivity audit.
What it does well
- Conversational, chat-style question flow that may feel more engaging
- Covers general remote work experience themes
- Part of an established survey platform ecosystem
Where it falls short
- No adaptive AI interview that reconstructs a specific workday around the respondent's top-ranked barrier
- No voice AI interview option
- No transparent prompt methodology or automated per-response scoring
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.