Workplace Mental Health Survey TestQuestions DemographicInformation Submit Survey In this survey, we want to understand which factors impact workers’ well-being. Your participation will help us identify workplace practices that support workers’ mental health and well-being.1. I know how my efforts contribute to my organization’s success.* Strongly Disagree Disagree Somewhat Disagree Somewhat Agree Agree Strongly Agree 2. I can structure my schedule or workload to meet my needs.* Strongly Disagree Disagree Somewhat Disagree Somewhat Agree Agree Strongly Agree 3. My employer appreciates me for my contributions.* Strongly Disagree Disagree Somewhat Disagree Somewhat Agree Agree Strongly Agree 4. My work stress affects the amount or quality of my sleep.* Strongly Disagree Disagree Somewhat Disagree Somewhat Agree Agree Strongly Agree 5. I feel confident expressing my opinions with my team.* Strongly Disagree Disagree Somewhat Disagree Somewhat Agree Agree Strongly Agree 6. My employer makes changes based on workers’ feedback.* Strongly Disagree Disagree Somewhat Disagree Somewhat Agree Agree Strongly Agree 7. My work is energizing and fulfilling.* Strongly Disagree Disagree Somewhat Disagree Somewhat Agree Agree Strongly Agree 8. My employer ensures its benefits meet its workers’ needs.* Strongly Disagree Disagree Somewhat Disagree Somewhat Agree Agree Strongly Agree 9. My employer pays its workers what they deserve.* Strongly Disagree Disagree Somewhat Disagree Somewhat Agree Agree Strongly Agree 10. My employer invests in developing fair and supportive people managers.* Strongly Disagree Disagree Somewhat Disagree Somewhat Agree Agree Strongly Agree 11. I feel like I belong in my workplace.* Strongly Disagree Disagree Somewhat Disagree Somewhat Agree Agree Strongly Agree 12. I can be myself at work without facing negative consequences.* Strongly Disagree Disagree Somewhat Disagree Somewhat Agree Agree Strongly Agree 13. My work stress affects my relationships with family and friends.* Strongly Disagree Disagree Somewhat Disagree Somewhat Agree Agree Strongly Agree 14. I trust my team will support my work activities.* Strongly Disagree Disagree Somewhat Disagree Somewhat Agree Agree Strongly Agree 15. My employer makes changes based on workers’ feedback.* Strongly Disagree Disagree Somewhat Disagree Somewhat Agree Agree Strongly Agree 16. My employer values workers’ productivity over micromanagement.* Strongly Disagree Disagree Somewhat Disagree Somewhat Agree Agree Strongly Agree 17. My employer encourages clear and transparent communication at all levels.* Strongly Disagree Disagree Somewhat Disagree Somewhat Agree Agree Strongly Agree 18. I feel confident advocating for my or others’ needs at my organization.* Strongly Disagree Disagree Somewhat Disagree Somewhat Agree Agree Strongly Agree 19. My employer offers the following policies or benefits:*Please check all that apply. Affinity, business, or employee resource group(s) Benefits navigator, advocate, or concierge service Employee Assistance Program (EAP) Employee recognition program Family benefits (e.g., paid parental leave, childcare, adoption, fertility assistance, etc.) Generous paid time off (e.g., vacation, sick, personal, wellness, etc.) Mentorship program Merit-based salary increases Professional growth opportunities (e.g., professional courses, certification, training, etc.) Remote, hybrid, or flexible work options Training for people managers Transparent compensation policy Volunteer opportunities Other benefits (e.g., financial planning, tuition or student loan assistance, etc.) None of the above 20. Please tell us more about how your workplace is supportive or unsupportive. (Optional) Do you work in the United States or another country?* United States Another country Please consider answering the following optional questions. Your responses help us develop and share important information and resources for workers like you. When you are done, scroll to the bottom of the page and click "submit" to complete the survey. What is your gender identity? Male Female Another identity Prefer not to answer What racial/ethnic groups do you belong to?American Indian or Alaska NativeAsian or Pacific IslanderBlack or African American (non-Hispanic)Hispanic or LatinoMiddle Eastern or North AfricanWhite (non-Hispanic)More than one of the aboveOtherWhat is your age range? 15-22 23-38 39-54 55-73 74+ What is your employment status?Full-timePart-timeTemporaryFreelance or contractSelf-employedUnemployedWhich best describes your position? Someone supervises me; I supervise no one. Someone supervises me; I supervise one or more people. I supervise one or more people; no one supervises me. Which best describes your daily work situation? I mainly work on my feet. I mainly work at a computer or desk. Which best describes your daily physical work location? I work in an office or a set work location. I work remotely from home or another location. My work location varies. How many people work for your organization? 1-10 11-50 51-250 251-1,000 1,001-5,000 5,001+ What is your industry?AgricultureAutomotiveConstructionConsulting or professional servicesEducationEnergyFinancial servicesFood and beverageHealth care or social servicesHospitalityLegal servicesManufacturingMarketing or salesMedia and telecommunicationsNon-profitPublic sector (government)Research and developmentRetailSoftware or technologyTransportationOtherCommentsThis field is for validation purposes and should be left unchanged.
