Employee Wellness Program Feedback Form

Employee Wellness Program Feedback Form

Your honest feedback is crucial for us to understand the impact of our wellness programs and to make necessary improvements. Please fill out each section thoughtfully.

Employee Information

Name

[Your Name]

Employee ID

[Your Employee ID Number]

Department

[Your Office Department]

Email

[Your Email Address]

Name of the Program

[Program Name]

Date of Participation

[MM-DD-YYYY]

Overall Satisfaction (1-5)

  • 1

  • 2

  • 3

  • 4

  • 5


What did you think of the program?




What can be improved in the program?

Consent for Data Usage:

  • I consent to the use of my feedback for the improvement of the Employee

Wellness Program.

Date: [MM-DD-YYYY]


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