Q01
Message
All templates
Wellness Program Engagement & Barriers Survey
Measures employee participation patterns, motivational drivers, and barriers to workplace wellness engagement. Designed for HR and wellness teams seeking actionable data to improve program design, communication, and uptake.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
24 questions · ~11 min
Q02
Multiple Choice
In the past 90 days, how often did you participate in any workplace wellness program or activity?
- Weekly or more
- 2–3 times per month
- About once per month
- One time
- Not at all
Q03
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 or data
- Confidence in privacy and confidentiality
- Other (please specify)
Q04
Opinion Scale
How likely are you to participate in a wellness program in the next 3 months?
Scale: 1 – 7
Min:Very unlikelyMax:Very likely
Q05
Multiple Choice
How do you prefer to participate 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
Q06
Long Text
If you could change one thing about your organization's wellness programs to increase your participation, what would it be?
Q07
Multiple Choice
What is your primary work arrangement?
- Onsite
- Hybrid
- Fully remote
- Prefer not to say
Q08
Message
Thank you for completing the survey. Your feedback will directly inform improvements to our wellness programs.
Q09
Multiple Choice
Which types of wellness activities have you participated in during 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
Q10
Multiple Choice
Which factors, if any, made it difficult to participate in wellness programs in the past 90 days? Select all that apply.
- Not enough time due to workload
- Schedule conflicts or time zone differences
- Wasn't aware of offerings
- Programs not relevant to my needs
- 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
- Other (please specify)
- Nothing prevented me
Q11
Dropdown
Realistically, how many wellness activities do you expect to participate in over the next 3 months?
- 0
- 1
- 2–3
- 4–5
- 6 or more
Q12
Multiple Choice
Which communication channels would most likely prompt you to participate? Select all that apply.
- Email newsletter
- Direct email invite
- Slack or Teams message
- Intranet homepage
- Manager mention in team meeting
- Calendar invite or hold
- Onsite posters or digital signage
- Mobile app push notification
- Other (please specify)
Q13
AI Interview
Based on your survey responses, we'd like to explore your wellness experience in a bit more depth. Please share your thoughts and our AI moderator will ask a couple of brief follow-up questions.
Q14
Multiple Choice
Which best describes your role level?
- Individual contributor
- People manager
- Senior leader
- Prefer not to say
Q15
Opinion Scale
How clear are you about the wellness programs currently available to you?
Scale: 1 – 5
Min:Not at all clearMax:Extremely clear
Q16
Opinion Scale
How important is it that wellness programs fit into your existing work schedule?
Scale: 1 – 5
Min:Not at all importantMax:Extremely important
Q17
Ranking
Rank the following incentives from most motivating to least motivating.
- 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
Drag to rank
Q18
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
Q19
Opinion Scale
How important is it that wellness program content is relevant to your personal health goals?
Scale: 1 – 5
Min:Not at all importantMax:Extremely important
Q20
Dropdown
When do you most prefer to participate in wellness activities?
- Before work
- During lunch
- Mid-afternoon
- End of day
- Evenings
- Weekends
- Varies / no preference
Q21
Dropdown
Where are you primarily located?
- Americas
- EMEA
- APAC
- Other / Prefer not to say
Q22
Opinion Scale
How important is it that your manager supports your participation in wellness programs?
Scale: 1 – 5
Min:Not at all importantMax:Extremely important
Q23
Ranking
Rank the following wellness topics by your level of interest (top = most interested).
- Physical activity and fitness
- Stress management and mindfulness
- Nutrition and healthy eating
- Sleep health
- Financial well-being
- Ergonomics and posture
- Social connection and volunteering
Drag to rank
Q24
Opinion Scale
How important is it that your participation data and health information remain private?
Scale: 1 – 5
Min:Not at all importantMax:Extremely important
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
- Includes an AI follow-up interview that adapts based on each respondent's prior answers to probe deeper into their specific wellness barriers and motivations, rather than a fixed set of questions for everyone.
- Separates participation frequency, activity types, motivators, and barriers into distinct structured questions, then layers in importance ratings (schedule fit, relevance, manager support, privacy) to help HR teams prioritize program changes.
- Combines quantitative signals (opinion scales, ranking of incentives and topics, likelihood-to-participate) with an open-text 'one thing you'd change' question and an adaptive AI interview for qualitative depth.
- Captures segmentation data (work arrangement, role level, tenure, location) so results can be broken down by workforce group without needing a separate demographic survey.
QuestionPro
Employee Wellness Survey Questions + Sample Questionnaire TemplateThis page reads primarily as a questions-and-guide resource with a sample questionnaire, rather than a single fielding-ready survey flow. It covers general employee wellness topics but does not appear structured around the participation-motivator-barrier framework HR teams need for program redesign decisions.
What it does well
- Provides sample wellness survey questions as a reference for building a questionnaire
- Backed by an established survey platform with broad question-type support
Where it falls short
- Presented as a static question list/guide rather than an adaptive interview that probes individual responses
- No mention of AI-driven follow-up or automated per-response quality scoring
- No transparent, publishable prompt methodology for how deeper questions are generated
SurveySparrow
Sample Employee Wellness Survey TemplateA conversational-style survey template focused on employee wellness, likely covering general satisfaction and program awareness. It's a ready-to-use template but built on fixed question sets rather than dynamic, respondent-specific probing.
What it does well
- Conversational, chat-like survey format that can feel more engaging than a static form
- Ready-to-deploy template aimed specifically at employee wellness
Where it falls short
- Fixed question flow with no adaptive AI follow-up based on individual answers
- No automated quality scoring of responses
- No option for voice-based AI interviews or guided screen-share tasks
Typeform
Employee Wellness Survey TemplateA well-designed, conversational one-question-at-a-time wellness survey template, strong on form aesthetics and completion experience. It covers wellness engagement broadly but relies on static question logic rather than AI-generated follow-ups tailored to each respondent.
What it does well
- Polished, one-question-at-a-time UX known for higher completion rates
- Easy to customize question wording and branding within Typeform's editor
Where it falls short
- No adaptive AI interview to dig deeper into individual barriers or motivators
- No automated per-response quality scoring or auto-generated analysis reports
- No voice AI interview or guided task/screen-share capability
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.