Workplace Satisfaction Survey Form
Shaina McGregor, certified life coach and wellness consultant, is gathering information to improve and create the best corporate wellness programs. Please take a few minutes to fill out this survey. Your responses are for internal data; your answers will not be shared publicly! Thank you :) 
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What industry are you in and what is your current role?

On a scale of 1-10, how fulfilled are you at work? 

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not fulfilled
very fulfilled

On a scale of 1-10, how comfortable are you being yourself at work? 

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not comfortable
very comfortable

Do you feel that you are wearing a mask or being a different version of yourself at work?

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How is it affecting you to not be yourself at work? What benefit would it have, if any, to be more authentic in the workplace?

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On a scale of 1-10, how much do you feel seen, heard, and valued at work? 

not at all
very much
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Why did you choose that number?

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How much do you feel your gender plays a role in how you are treated and valued?

If you have a leadership role, on a scale of 1-10 how vulnerable/open are you with your employees?

not vulnerable/open
very vulnerable/open
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As a leader or employee, what do you struggle most with at work?

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Does your company have any wellness programs or partner with any wellness initiatives?

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If so, what are they and do you use the resources provided?

On a scale of 1-10, how useful are the wellness programming (movement, mindset, mental health, coaching), that is provided?

not useful
very useful
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What kind of wellness programming/coaching would you like to see at work? Or what improvements would you make to workplace culture to have a better experience at work?

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Anything else you'd like to add? Share here! 

If you're interested to learn more about me. Please check out my website www.shainamcgregor.com and read my blog post "There Is No True Leadership Without Vulnerability: Why Vulnerability Belongs in the Workplace" https://www.shainamcgregor.com/blog/why-vulnerability-belongs-in-the-workplace. Thank you!
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