Return To Work Survey Template

1. On a scale of 1-5, how comfortable are you with returning to the workplace?

The answer should be a single choice:

1. 1 - Not at all comfortable
2. 2
3. 3
4. 4
5. 5 - Extremely comfortable

2. Do you have any concerns or reservations about returning to work?

The answer should be a single choice:

1. Yes
2. No

3. Are you confident in the health and safety measures that have been put in place at the workplace?

The answer should be a single choice:

1. Strongly agree
2. Agree
3. Neutral
4. Disagree
5. Strongly disagree

4. Have you received proper training on how to follow health and safety protocols at the workplace?

The answer should be a single choice:

1. Yes
2. No

5. What additional health and safety measures would make you feel more comfortable about returning to work?

The answer should be a multi line text input.

6. Would you prefer to continue working from home or return to the workplace?

The answer should be a single choice:

1. Work from home
2. Return to the workplace
3. No preference

7. How flexible would you like your schedule to be?

The answer should be a single choice:

1. Fixed schedule
2. Some flexibility
3. Complete flexibility

8. How important is work-life balance to you?

The answer should be a single choice:

1. Extremely important
2. Important
3. Neutral
4. Not important
5. Not at all important

9. How effectively has communication been with management regarding returning to work?

The answer should be a single choice:

1. Very effectively
2. Effectively
3. Neutral
4. Ineffectively
5. Very ineffectively

10. Have you received adequate support from management during this transition?

The answer should be a single choice:

1. Yes
2. No
3. Neutral

11. What additional support would be helpful to you during this transition?

The answer should be a multi line text input.