This seven-question form opens by asking for a name and department, so responses can be sorted by team. It then moves through three core dimensions of remote work: the "How satisfied are you with your current remote work arrangement?" question captures overall sentiment, the "How would you describe the reliability of your internet connection for work tasks?" question pinpoints a common technical barrier, and the "Which of the following best describes your home office setup?" question maps the physical environments employees are working in. A second rating question asks employees to self-assess their productivity on a five-point scale, from significantly decreased to significantly increased. The optional "What are the biggest challenges you face while working from home?" question closes the form and invites employees to surface anything the structured questions missed. After submitting, respondents see a brief thank-you screen confirming their input has been received.
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The department field and the "How satisfied are you with your current remote work arrangement?" question let HR segment sentiment data by team and flag where remote work support is most needed.
The "How would you describe the reliability of your internet connection for work tasks?" question gives IT a direct read on connectivity problems across the workforce, helping prioritize stipends or equipment support.
The "Which of the following best describes your home office setup?" question and the productivity rating together show policy owners whether physical environment correlates with output, informing decisions about home office allowances.
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