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Employee Wellness & Burnout Pulse Survey

Tracks how employees are really doing — stress frequency, burnout symptoms, and which wellness benefits actually get used versus ignored — then uses a trade-off exercise and AI follow-up interview to uncover the specific causes of stress and the barriers stopping people from using support that already exists. Built for HR and People teams running quarterly wellbeing check-ins.

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Sample questions

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

14 questions · ~7 min
Q01
Message

Thanks for taking a few minutes for our employee wellbeing check-in. Your answers are used to improve support and benefits, not to evaluate you individually — please be honest. About 6 minutes.

Q02
Multiple ChoiceRequired

In the last 30 days, how often have you felt stressed by your workload?

  • Never
  • Rarely (once or twice)
  • Sometimes (about once a week)
  • Often (several times a week)
  • Daily
Q03
Opinion ScaleRequired

Overall, how would you rate your wellbeing at work right now?

Scale: 0 – 10
Min:StrugglingMax:Thriving
Q04
MatrixRequired

How aware are you of these wellness offerings, and how often do you actually use them?

5 rows × 5 columns
  • Mental health support / counseling (e.g., EAP)
  • Physical health benefits (gym, fitness stipend)
  • Flexible scheduling or remote work options
  • Paid time off and rest days
  • Manager check-ins about workload
Columns: Didn't know this existed · Aware, never used · Used once or twice · Use occasionally · Use regularly
Q05
Multiple ChoiceRequired

In the last 30 days, which of the following have you experienced at work? (Select all that apply)

  • Feeling emotionally drained by the end of the day
  • Feeling detached or cynical about your work
  • Feeling less effective or productive than usual
  • Trouble sleeping due to work-related stress
  • None of the above
Q06
Best–Worst Trade-off (MaxDiff)Required

Which of these wellness investments would matter most to you personally?

  • More mental health / counseling support
  • More flexible working hours
  • Additional paid time off
  • Reduced or better-managed workload
  • On-site or subsidized fitness options
  • Financial wellness resources (e.g., planning, coaching)
  • Manager training on supporting wellbeing
Pick best & worst per setBest:Matters mostWorst:Matters least
Q07
Point AllocationRequired

If your company had 100 points to invest in employee wellbeing, how would you allocate them across these areas?

  • Mental health support
  • Physical health & fitness
  • Financial wellness
  • Work-life balance / flexibility
  • Social connection & culture
Allocate 100 points
Q08
Opinion ScaleRequired

How likely are you to recommend this company to a friend as a place that genuinely supports employee wellbeing?

Scale: 0 – 10
Min:Not at all likelyMax:Extremely likely
Q09
AI Interview

Probe the specific source of this person's stress or burnout in the last 30 days — is it workload volume, unclear priorities, interpersonal friction, or something outside work bleeding in? If they marked low awareness or low use of a wellness offering, ask what got in the way (didn't know how, no time, stigma, doesn't apply to their role) and what would actually make them use it. If their overall wellbeing rating was low, anchor on what one change in the next month would move it up.

Q10
Dropdown

Which department or team are you part of?

  • (Replace with Department A)
  • (Replace with Department B)
  • (Replace with Department C)
  • (Template note: replace with your own department list before launching.)
  • 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
Multiple Choice

What is your primary work arrangement?

  • Fully on-site
  • Hybrid
  • Fully remote
  • Prefer not to say
Q13
Multiple Choice

Which age range do you fall into?

  • Under 25
  • 25-34
  • 35-44
  • 45-54
  • 55 or older
  • Prefer not to say
Q14
Message

Thank you for sharing this with us. Your responses are combined with your colleagues' to shape which wellness resources we invest in and improve next quarter.

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

  • Combines quantitative tracking (stress frequency, burnout symptom checklist, wellbeing rating, benefit awareness-vs-usage matrix) with a constant-sum budget allocation and a MaxDiff trade-off exercise to force real prioritization, not just wishlist answers.
  • Pairs the survey with an AI follow-up interview that specifically probes the source of each person's stress or burnout, so HR gets the 'why' behind the numbers instead of guessing from scale scores alone.
  • Captures the gap between awareness and actual use of existing wellness offerings, directly surfacing barriers to adoption rather than only measuring satisfaction.
  • Includes context questions (department, tenure, work arrangement, age range) so results can be segmented, plus an automated report and transparent, reviewable AI prompts for HR governance.

QuestionPro

Employee Wellness Survey Questions + Sample Questionnaire Template

This is primarily a question-bank/guide page listing sample wellness survey questions rather than a single ready-to-field template. It's useful for question ideas but requires manual assembly into a working survey flow.

What it does well

  • Broad library of sample wellness question types to draw from
  • Backed by a large established survey platform with enterprise features

Where it falls short

  • No adaptive AI follow-up interview to dig into individual causes of stress
  • Presented as a reference list rather than a pre-built, fielding-ready survey flow
  • No transparent prompt methodology since there's no AI interviewing component

SurveySparrow

Sample Employee Wellness Survey Template

A conversational-style, ready-to-use wellness survey template aimed at HR teams. It covers standard wellness topics but relies on fixed questions rather than dynamic probing of individual responses.

What it does well

  • Chat-style conversational survey format for better completion experience
  • Purpose-built for employee wellness rather than a generic pulse check

Where it falls short

  • No AI follow-up interview or voice interview option to explore specific stress causes per respondent
  • No trade-off or budget-allocation exercise to force prioritization of wellbeing investments
  • No per-response quality scoring or automated qualitative analysis layer

Typeform

Employee Wellness Survey Template

A polished, conversational one-question-at-a-time template well-suited to good completion rates. It's static once published, with no mechanism to adapt questions based on an individual's answers.

What it does well

  • Strong, well-designed conversational UI known for high completion rates
  • Easy to customize branding and question wording

Where it falls short

  • Static form with no adaptive AI probing into causes of stress or burnout
  • No trade-off/MaxDiff or budget-allocation exercise for prioritizing wellbeing spend
  • No automated report generation or quality scoring of open-text responses

SurveyMonkey

Pulse Survey Template

A general employee pulse survey template rather than one specifically built around burnout and wellness benefit usage; it can be adapted for wellbeing check-ins but isn't purpose-designed for that. Good for lightweight, recurring sentiment tracking.

What it does well

  • Designed for frequent, lightweight pulse check-ins
  • Backed by a widely used survey platform with broad distribution options

Where it falls short

  • Not specifically built for burnout/wellness benefit-usage tracking, requiring significant customization
  • No adaptive AI interview to uncover individual barriers to using existing support
  • No trade-off exercise or budget-allocation question to reveal true wellbeing priorities

Ready to launch?

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