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Run: Work-Life Balance and Wellbeing Survey

A work-life balance and wellbeing survey template that checks workload, boundary-setting, manager support, and intent to stay. Use it to spot burnout risk ea...

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 →

Workload and Ability to Disconnect

My workload is manageable within my normal working hours. (required)

Strongly disagree / Disagree / Neither agree nor disagree / Agree / Strongly agree

I can disconnect from work at the end of the day without feeling pressure to stay available. (required)

Strongly disagree / Disagree / Neither agree nor disagree / Agree / Strongly agree

I am able to take breaks and use my time off without work piling up in a way that creates stress. (required)

Strongly disagree / Disagree / Neither agree nor disagree / Agree / Strongly agree

What is the main reason for your answer to the workload and disconnect questions?

Boundaries, Support, and Leadership Concern

It is acceptable on my team to set boundaries around after-hours messages and requests. (required)

Strongly disagree / Disagree / Neither agree nor disagree / Agree / Strongly agree

My manager respects employee boundaries and models healthy work-life balance. (required)

Strongly disagree / Disagree / Neither agree nor disagree / Agree / Strongly agree

Leadership shows genuine concern for employee wellbeing, not just productivity. (required)

Strongly disagree / Disagree / Neither agree nor disagree / Agree / Strongly agree

I feel comfortable speaking up when workload, schedule, or personal boundaries need to change. (required)

Strongly disagree / Disagree / Neither agree nor disagree / Agree / Strongly agree

If you rated any of the items above 3 or below, what is contributing most to that experience?

Wellbeing and Intent to Stay

Overall, my current work situation supports my wellbeing. (required)

Strongly disagree / Disagree / Neither agree nor disagree / Agree / Strongly agree

I have enough energy to do my work well and still maintain a healthy personal life. (required)

Strongly disagree / Disagree / Neither agree nor disagree / Agree / Strongly agree

I intend to stay with this organization for the next 12 months. (required)

Strongly disagree / Disagree / Neither agree nor disagree / Agree / Strongly agree

What is the one change that would most improve your wellbeing at work?

Open Feedback and Optional Demographics

Anything else you'd like to share about work-life balance, wellbeing, or boundaries?

Which team or department do you work in? (Optional)

What is your primary work arrangement? (Optional)

On-site / Hybrid / Remote / Field-based / Other

Get your results

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