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How are you today?
Step
1
of
5
20%
How are you physically?
We just want to check how are you in the past few weeks.
How do you feel (physically) right now? (Very well, well enough, not so well, etc.)
Rate the intensity of how your feel right now?
10 (very intense)
9
8
7
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5
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2
1
How did it affect you at home?
How did it affect your ability to accomplish your responsibilities in the office?
What do you think caused it?
Did you do anything about it? How did you overcome it?
Do you think you need help on this from the office? Why?
Do you think you need help on this from your immediate superior? Why?
Did you seek the help you needed?
How are you emotionally / mentally?
We just want to check how you have been in the past few weeks.
How do you feel (emotionally) right now? (Very happy, contented, confused, sad, etc.)
Rate the intensity of how you feel right now?
10 (very intense)
9
8
7
6
5
4
3
2
1
How did it affect you at home?
How did it affect your ability to accomplish your responsibilities in the office?
How often has your emotional/mental health affected your ability to get work done?
What do you think caused it?
Did you do anything about it? How did you overcome it?
Do you think you need help on this from the office? Why?
Do you think you need help on this from your immediate superior? Why?
Did you seek the help you needed?
How's your career?
Let us know how is work life.
Are you satisfied with what you have done / your accomplishments in the past 4 weeks?
Is there anything you discovered you need to improve on? (skills, work-related, working with people)
How did it affect your work / working with people in the last 4 weeks?
Do you think you need help on this from the office? Why?
Do you think you need help on this from your immediate superior? Why?
Did you seek the help you needed?
Is there any sudden interest in new hobby / knowledge / work?
How did you learn about it? How did it start?
Is this something you want to pursue and how soon?
Will it affect your current work situation?
How is WFH Life?
Let us know how is working from home in the past weeks.
How is Work From Home for you in the past 4 weeks?
How did the WFH arrangement affect your life with your family and work / working with your team in the last 4 weeks?
Is there something that you asked for help that is related to your work in the last 4 weeks?
Do you think this is something that needs to be addressed long term?
What do you think should be done to make WFH better?
About the company
Your idea is always welcomed. Let us know what you think so we check if we can consider it.
Is there anything you suddenly realized you still don't know about the company?
Is there anything about the company (processes) you think needs to have, or needs to improve on?
If you can, how will you do it?
Thank you.
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