Free employee wellness survey template
36 research-backed questions covering physical, mental, nutritional, social, financial, and environmental wellness. Includes scoring guide and action plan.
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What's included
The complete wellness measurement system
Not just questions. A full system: 6-dimension survey, scoring guide, action plan, and quarterly tracking.
6 wellness dimensions
Physical, mental, nutritional, social, financial, and environmental. The full picture, not just one slice.
Built-in scoring guide
Raw numbers become clear risk levels: Thriving, Healthy, At Risk, Needs Action. Per dimension and overall.
Action plan per dimension
Every score range maps to a specific intervention. Low financial wellness? The plan tells you what to launch.
Anonymous by design
No identifiable info in the core survey. Optional demographics clearly separated. Segment sizes 15+ for anonymity.
Print-ready PDF
Download, print, distribute. Works as-is for your first survey. No reformatting needed.
Quarterly pulse-ready
Built for repeat use. Comparison scorecard tracks all 6 dimensions over time.
What you measure
6 dimensions of employee wellness
Each dimension has 6 questions scored on a 1–5 scale. The survey takes about 10 minutes.
Physical wellness
"I engage in at least 150 minutes of physical activity per week."
Mental & emotional
"I feel positive about my overall mental health right now."
Nutritional wellness
"I eat a balanced diet with fruits, vegetables, and whole grains most days."
Social connection
"I feel connected to my colleagues and team."
Financial wellness
"I feel financially secure in my current situation."
Work environment
"My physical workspace is comfortable and supports my productivity."
Getting started
How to use this template
Six steps from download to quarterly wellness insights.
Download the PDF
Get the complete template with survey, scoring guide, action plan, and quarterly scorecard.
Communicate first
Tell employees why, assure anonymity, explain what happens with results. Transparency drives response rates.
Collect responses
Allow 5–7 business days. One reminder at midpoint. Aim for 60%+ response rate.
Score & prioritize
Each dimension scores 6–30. The guide maps every range to a risk level. Focus on the lowest-scoring dimensions first.
Act on results
The action plan maps each dimension and score to specific interventions. Launch targeted programs.
Repeat quarterly
Use the comparison scorecard. Track all 6 dimensions over time. Show leadership the needle is moving.
Action plan
Low scores? Here's what to do
Each dimension maps directly to an intervention.
Low physical
Launch a step challenge or walking program.
Low mental
Start a mindfulness program. Promote EAP services.
Low nutritional
Hydration challenge. Healthy snack options. Meal logging.
Low social
Team wellness challenges. Walking groups. Buddy systems.
Low financial
Financial literacy workshops. 1:1 coaching. Benefits education.
Low environment
Ergonomic assessments. Home office stipend. Quiet zones.
Vantage Fit makes it easy to launch targeted wellness programs that address specific survey findings — step challenges, mindfulness sessions, team competitions, and real rewards.
See how it worksFrequently asked questions
How is this different from a mental health survey?
A mental health survey focuses on one dimension. This wellness survey covers six: physical, mental, nutritional, social, financial, and environmental. It gives HR a complete picture of workforce wellbeing.
How many questions are in this survey?
36 questions. Six dimensions with 6 questions each. Takes about 10 minutes. Short enough for high response rates, comprehensive enough for actionable data.
How often should we run this survey?
Quarterly is ideal. The template includes a comparison scorecard for tracking trends. Annual is too infrequent. Monthly is too frequent for a comprehensive assessment.
Is this survey anonymous?
Yes. The core 36 questions collect no personally identifiable information. The optional demographics section asks only for department, tenure range, and work arrangement.
What do we do after collecting responses?
The template includes a scoring guide that maps each dimension to a risk level and an action plan with specific interventions per dimension and score range. You will know exactly what to do.
Can we customize the questions?
Yes. Keep at least 30 of the 36 questions unchanged for quarter-over-quarter comparison. You can swap up to 6 questions for organization-specific topics.
Wellness is more than one dimension
Download the template. Run your first survey this quarter.
Get the free template