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Free employee wellness survey template

36 research-backed questions covering physical, mental, nutritional, social, financial, and environmental wellness. Includes scoring guide and action plan.

  • 36 questions / 6 dimensions
  • 4-level scoring guide
  • Action plan per dimension
  • Quarterly scorecard

Get the free template

Instant access.

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.

6 dimensions of employee wellness

Each dimension has 6 questions scored on a 1–5 scale. The survey takes about 10 minutes.

  1. Physical wellness

    "I engage in at least 150 minutes of physical activity per week."

  2. Mental & emotional

    "I feel positive about my overall mental health right now."

  3. Nutritional wellness

    "I eat a balanced diet with fruits, vegetables, and whole grains most days."

  4. Social connection

    "I feel connected to my colleagues and team."

  5. Financial wellness

    "I feel financially secure in my current situation."

  6. Work environment

    "My physical workspace is comfortable and supports my productivity."

How to use this template

Six steps from download to quarterly wellness insights.

  1. Download the PDF

    Get the complete template with survey, scoring guide, action plan, and quarterly scorecard.

  2. Communicate first

    Tell employees why, assure anonymity, explain what happens with results. Transparency drives response rates.

  3. Collect responses

    Allow 5–7 business days. One reminder at midpoint. Aim for 60%+ response rate.

  4. Score & prioritize

    Each dimension scores 6–30. The guide maps every range to a risk level. Focus on the lowest-scoring dimensions first.

  5. Act on results

    The action plan maps each dimension and score to specific interventions. Launch targeted programs.

  6. Repeat quarterly

    Use the comparison scorecard. Track all 6 dimensions over time. Show leadership the needle is moving.

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 works

Frequently asked questions

Get the free template
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.

Wellness is more than one dimension

Download the template. Run your first survey this quarter.

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