Loading...

Run: Return-to-Office Readiness Survey

Use this Return-to-Office Readiness Survey to measure comfort, safety confidence, commute and caregiving barriers, and likely retention risk before you final...

Fill this out, get a PDF emailed to you. No account required. Want to run it with your team and track results? Sign up free →

Overall Comfort with Returning to the Office

1 = Very uncomfortable, 5 = Very comfortable
Please share as much or as little as you'd like. Your response is anonymous.
Select the option that best reflects your preference, not necessarily your current situation.
1 = Significantly decreased, 5 = Significantly increased

Workplace Safety Confidence

1 = Strongly disagree, 5 = Strongly agree
1 = Strongly disagree, 5 = Strongly agree
Examples: enhanced cleaning protocols, improved ventilation, reduced occupancy limits, flexible sick leave, on-site health screening, private workspaces.
Your feedback will directly inform safety planning decisions.

Commute, Caregiving, and Practical Barriers

1 = Strongly disagree, 5 = Strongly agree
1 = Strongly disagree, 5 = Strongly agree
You do not need to disclose the nature of any condition. Select 'Yes' if you would like HR to follow up with you confidentially.
Examples: childcare gaps, transportation, home office setup that outperforms the office, relocation since going remote, etc.

Hybrid Work Preferences and Scheduling

Select the number of in-office days per week that would work best for your role and personal situation.
1 = Strongly disagree, 5 = Strongly agree
1 = Strongly disagree, 5 = Strongly agree
Think about workspace design, technology, meeting norms, quiet zones, collaboration spaces, or anything else.

Manager Support and Psychological Safety

1 = Strongly disagree, 5 = Strongly agree
1 = Strongly disagree, 5 = Strongly agree
1 = Strongly disagree, 5 = Strongly agree — this measures proximity bias risk.
Your response is anonymous and will be reviewed in aggregate to inform manager guidance.

Intent to Stay and Open Feedback

0 = Not at all likely, 10 = Extremely likely (eNPS indicator)
1 = Very unlikely, 5 = Very likely — intent-to-stay signal
This is your space. All responses are anonymous and will be reviewed by the HR team before any policy decisions are made.

Get your results

Enter your email — we'll send you a PDF of your filled-out template, plus the occasional MangoScoop newsletter (templates, workflow tips, product updates). Unsubscribe anytime — link is in every email.

Generated with MangoApps Templates — browse 250+ free