Employee Insight Survey

Section 1: Quick Demographics

First Name *

Email *

Industry *

How Many Employees Work At Your Company *

What Is Your Role *

Section 2: Experience of Well-Being at Work

How would you describe your current energy level and stress at work? *

Do you feel like you have time and space during your workday to take care of your health (movement, meals, breaks, etc.)? *

When it comes to your current workload, how sustainable does it feel? *

Section 2: Culture + Communication

How would you describe the company’s attitude toward employee wellness? *

Have you ever participated in any wellness-related programs, events, or initiatives at work? *

(Optional) please briefly describe any wellness initiatives offered at work

What makes it harder for you to take care of your health during the workweek? (Check all that apply) *

Schedule packed with meetings, appointments or deadlines

Lack of movement or break opportunities

Not enough time to eat well

High stress or emotional exhaustion

No access to wellness tools or resources at work

Lack of support

Workplace culture or expectations

Not a personal priority

N/A - I am able to take care of my health at work

check all that apply

is there anything else that makes it harder to take care of your health at work?

Section 3: What Would Help?

If there were one thing your company could change to better support your well-being, what would it be?

Any other thoughts or feedback you’d like to share?

Thank you!

Would you like me to send you the summary report when it’s ready?

Yes, Please.

No, Thank you.

I’m open to a short follow-up conversation if helpful (optional)

Yes

If your HR or executive team is focused on improving productivity, reducing sick days, or building a wellness culture that supports retention and performance, feel free to share the survey or pass along my name. I’d be glad to connect.

I’m gathering confidential insights from professionals across industries to better understand what actually supports or blocks workplace wellness. Your responses will never be shared individually or publicly. Any data I use will be in aggregate only.

Lea Genders Fitness, 2706 SE Loop 820, #128 , Fort Worth, TX 76140, [email protected]