Workplace Health Survey Questions

WORKPLACE HEALTH SURVEY QUESTIONS
This self-evaluation tool asks questions about your current well-being
Please check (/) only the statements applicable to you.
ITEM STATEMENT
1.
I am feeling productive during this time.
2.
I generally feel positive towards work at my company.
3.
Recently, my levels of stress feel manageable.
4. During these challenging times, I feel able to bounce

back as quickly as I normally would.
5. I am able to effectively switch off from work to make

time for rest.
6. I found meaningful ways to stay connected with my

colleagues in the current environment.
7. My manager is checking in regularly enough with how I

am doing (not just work-related)
8. I can see how the work I am doing is making a positive

difference at my company.
9. I know where to raise concerns I have in relation to my

own or a colleague's wellbeing during this time
10. My company/ agency appropriately deals with co-workers

who are not doing his or her job.
11. My supervisor works as hard as everyone else in the

company.
12. All people are held accountable for their work, regardless of
their position in the company.
13. People in my company are paid what they deserve.

14. People are being unfairly recognized while others with
better experience or skills don’t get recognized.
15. I feel like my company might fire me or let me go at any

time.
16. My work environment is overly focused on trivial activities

(e.g., feeling micromanaged or having overly bureaucratic
company policies.
17. I’m afraid to go on vacation because I might lose my job or

things will fall apart.
18. My employer promotes safe working conditions (including

expectations about coming to work in unsafe situations like
driving through bad weather or when someone is sick).
19. The stress from my job affects my relationships with my

friends or family.
20. I trust my team or coworkers to support my work activities.
21. I tend to work alone because my workplace is unhelpful or

hostile.
22. My company has realistic expectations about my workload.
23. If things get hard, my supervisor will support me.
24. I speak poorly about my company (including boss or

coworkers) to others (like family and friends).
What is one thing the company/ agency can do to better support

your wellbeing during this time?
18- 24 (Positive Mental Health)- Normal Functioning
Consistent performance, normal mood fluctuations, resilient, physically and emotionally active,
usual self- confidence
12-18 (Average Mental Health)- Common and Irreversible Distress

Irritable, procrastination, forgetfulness, difficulty in relaxing, decreased social activity
6-11 (Sub- optimal Average Mental Health)- Significant Functional Impairment
Hopelessness, worthlessness, decreased performance in work, avoidance of social situations,

withdrawal
0-5 (Poor Mental Health)- Clinical Disorder, Severe and Persistent Functional Impairment
Difficulty of handling emotions, feeling overwhelmed, high levels of anxiety, constant fatigue
HAVE YOU SPOTTED THE SIGNS?

There are many reasons why mental health has become such a huge issue in the
workplace today, but one factor is that many cases go unrecognized until they become severe.
Here are some common signs that someone may be struggling with their mental health at work.
YES NO
Emotional
Employees who are struggling with
their mental health may seem
irritable, sensitive to criticism,
demonstrate an uncharacteristic loss
of confidence or seem to lose their
sense of humor.
Cognitive
An employee may make more
mistakes than usual, have problems
making decisions, or not be able to
concentrate. Look out for any
sudden and unexplained drop in
performance at work.
Behavioral
This could include things like
arriving late, not taking lunch
breaks, taking unofficial time off,
not joining in office banter, or not
hitting deadlines, becoming more
introvert or extroverted, generally
acting out of character.
Physical
Employees who are stressed
sometimes exhibit physical
symptoms such as a constant cold,
being tired at work, looking like they
haven’t made an effort with their
appearance, or rapid weight loss or
gain.
Business
At a business level, look out for
increased absence or staff turnover.
Have you noticed employees
working longer hours or a general
drop in motivation or productivity
levels?
What is one thing the company/
agency can do to better support your
wellbeing during this time?
Yes Spotting one or two of these symptoms does not always mean there is an underlying
mental health issue. But, still consider checking on one’s wellbeing - especially if you know one
may be going through a difficult time inside or outside work.
No If you haven’t experienced any of these, you’re doing a good job looking after your
wellbeing at the moment. However, with mental health problems on the rise think about how to
safeguard this for the future.

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WORKPLACE HEALTH SURVEY QUESTIONS

This self-evaluation tool asks questions about your current well-being

Please check (/) only the statements applicable to you.

4. During these challenging times, I feel able to bounce

5. I am able to effectively switch off from work to make

6. I found meaningful ways to stay connected with my

7. My manager is checking in regularly enough with how I

8. I can see how the work I am doing is making a positive

9. I know where to raise concerns I have in relation to my

10. My company/ agency appropriately deals with co-workers

11. My supervisor works as hard as everyone else in the

13. People in my company are paid what they deserve.

15. I feel like my company might fire me or let me go at any

16. My work environment is overly focused on trivial activities

17. I’m afraid to go on vacation because I might lose my job or

18. My employer promotes safe working conditions (including

19. The stress from my job affects my relationships with my

20. I trust my team or coworkers to support my work activities.

21. I tend to work alone because my workplace is unhelpful or

22. My company has realistic expectations about my workload.

23. If things get hard, my supervisor will support me.

24. I speak poorly about my company (including boss or

What is one thing the company/ agency can do to better support

18- 24 (Positive Mental Health)- Normal Functioning

12-18 (Average Mental Health)- Common and Irreversible Distress

6-11 (Sub- optimal Average Mental Health)- Significant Functional Impairment

Hopelessness, worthlessness, decreased performance in work, avoidance of social situations,

HAVE YOU SPOTTED THE SIGNS?

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