Uncover motivation and barriers to employee wellness participation. Use this template to boost engagement and improve program outcomes.
What's Included
AI-Powered Questions
Intelligent follow-up questions based on responses
Automated Analysis
Real-time sentiment and insight detection
Smart Distribution
Target the right audience automatically
Detailed Reports
Comprehensive insights and recommendations
Template Overview
22
Questions
AI-Powered
Smart Analysis
Ready-to-Use
Launch in Minutes
This professionally designed survey template helps you gather valuable insights with intelligent question flow and automated analysis.
Sample Survey Items
Q1
Chat Message
Your responses are confidential and will be reported in aggregate. Please answer honestly.
Q2
Multiple Choice
In the past 90 days, how often did you participate in any wellness program or challenge?
Weekly or more
2–3 times per month
About once per month
One time
Not at all
Q3
Multiple Choice
Which types of wellness activities have you joined in the last 6 months? Select all that apply.
Step or activity challenges
Mindfulness or meditation
Nutrition or healthy eating
Sleep improvement
Financial well-being
Health screenings or assessments
Mental health group sessions
Volunteering or social impact
Ergonomics or stretch breaks
Other
None of the above
Q4
Rating
How clear are you about what wellness programs are currently available?
Scale: 11 (star)
Min: Not clearMax: Very clear
Q5
Multiple Choice
What motivates you to participate in wellness programs? Select all that apply.
Improve health or energy
Reduce stress
Fun or friendly competition
Connect with coworkers
Rewards or incentives
Manager encouragement
Supportive company culture
Convenient scheduling
Expert-led, high-quality content
Ability to track progress/data
Confidence in privacy/confidentiality
Other option allowed
Q6
Multiple Choice
Which factors made it hard to participate in the past 90 days? Select all that apply.
Not enough time or workload
Schedule conflicts or time zones
Wasn't aware of offerings
Programs not relevant to me
Limited manager support
Privacy or data concerns
Technical or access issues
Not available in my location
Prefer to do wellness on my own
Too many simultaneous initiatives
Nothing prevented me
Other option allowed
Q7
Matrix
How important are the following when deciding whether to join a wellness offering?
Rows
Not at all important
Slightly important
Moderately important
Very important
Extremely important
Timing fits my schedule
•
•
•
•
•
Short duration (10–15 minutes)
•
•
•
•
•
Team-based element
•
•
•
•
•
Rewards are meaningful
•
•
•
•
•
Led by a credible expert
•
•
•
•
•
Manager/company endorsement
•
•
•
•
•
Privacy is clearly protected
•
•
•
•
•
Integrates with tools I already use
•
•
•
•
•
Q8
Multiple Choice
How do you prefer to take part in wellness activities? Choose up to three.
In-person at the workplace
Live virtual sessions
Self-paced digital modules
Hybrid (mix of in-person and virtual)
Team-based challenges
1:1 coaching
Q9
Multiple Choice
Which communications would most likely prompt you to join? Select all that apply.
Email newsletter
Direct email invite
Slack/Teams message
Intranet homepage
Manager mention in team meeting
Calendar invite/hold
Onsite posters or digital signage
Mobile app push notification
Q10
Constant Sum
Allocate 100 points across the options to show how motivating each incentive would be for you.
Total must equal 100
Gift cards or cash rewards
Public recognition or leaderboards
Charitable donation on my behalf
Extra time off or flexible hours
Health insurance premium discounts
Wellness merchandise or swag
Min per option: 0Whole numbers only
Q11
Dropdown
When do you prefer to participate in wellness activities?
Before work
During lunch
Mid-afternoon
End of day
Evenings
Weekends
Varies / no preference
Q12
Ranking
Rank the topics by your interest (top = most interested).
Drag to order (top = most important)
Physical activity/fitness
Stress or mindfulness
Nutrition/healthy eating
Sleep health
Financial well-being
Ergonomics/posture
Social connection/volunteering
Q13
Multiple Choice
What is your primary work arrangement?
Onsite
Hybrid
Fully remote
Prefer not to say
Q14
Multiple Choice
What best describes your role level?
Individual contributor
People manager
Senior leader
Prefer not to say
Q15
Multiple Choice
How long have you been with your organization?
Less than 6 months
6–12 months
1–3 years
3–5 years
5+ years
Prefer not to say
Q16
Dropdown
Where are you primarily located?
Americas
EMEA
APAC
Other/Prefer not to say
Q17
Multiple Choice
Attention check: To confirm you are paying attention, please select "I am paying attention."
I am paying attention
I am not paying attention
Prefer not to say
Q18
Opinion Scale
How likely are you to join a wellness program in the next 3 months?
Range: 1 – 10
Min: Very unlikelyMid: NeutralMax: Very likely
Q19
Numeric
Realistically, how many wellness activities do you expect to join in the next 3 months? (Enter a whole number)
Accepts a numeric value
Whole numbers only
Q20
Long Text
If you could change one thing to increase your participation, what would it be?
Max 600 chars
Q21
AI Interview
AI Interview: 2 Follow-up Questions on your wellness engagement
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Reference questions: 18
Q22
Chat Message
Thank you for completing the survey—your input will help improve future wellness offerings.
Frequently Asked Questions
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