Free Cleaning Services Employee Health Survey

Please take a few minutes to complete this Employee Health Survey. Fill out all sections of the survey accurately. For items requiring a response, select the appropriate option or provide the necessary information. Your responses will remain confidential and will only be used for the purpose of assessing and improving workplace health and safety.
Personal Information
Field | Information |
|---|---|
Name: | |
Department: | |
Date of Birth: | |
Employment Status: |
|
Health History
Question | Response |
|---|---|
Have you experienced any recent illnesses? |
|
Do you have any chronic health conditions? |
|
Are you currently taking any medications? |
|
Workplace Environment
Question | Response |
|---|---|
Do you feel safe in your work environment? |
|
Are you provided with necessary safety equipment? |
|
Are there any areas of concern regarding workplace safety? |
|
General Well-being
Question | Response |
|---|---|
Do you feel stressed at work? | |
How would you rate your stress level? |
|
Are you satisfied with your work-life balance? |
|
How would you rate your overall well-being? |
|
Any additional comments or concerns? |
If you have any issues or concerns, don't hesitate to contact [Your Company Email] or call [Your Company Number].
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This editable Cleaning Services Employee Health Survey Template only available here on Template.net is a valuable resource for understanding your employees’ health status! It’s fully customizable, enabling you to design a thorough health survey. With the AI Editor Tool, tailoring the survey to your specific needs becomes a straightforward task!