EMPLOYEE FEEDBACK FORM
[Company Name] · Employee (optional): [Name / Anonymous] · Department: [..] · Date: [DD/MM/YYYY]
| Statement | Strongly Disagree (1) | Neutral (3) | Strongly Agree (5) |
|---|---|---|---|
| I have clarity on my role and responsibilities | ☐ | ☐ | ☐ |
| My manager supports me and gives useful feedback | ☐ | ☐ | ☐ |
| I have the tools and resources to do my job well | ☐ | ☐ | ☐ |
| The work environment is positive and inclusive | ☐ | ☐ | ☐ |
| I see opportunities to learn and grow here | ☐ | ☐ | ☐ |
What is working well?
[Open response.]
What can be improved?
[Open response.]
Any suggestions for management?
[Open response.]
Keep responses confidential to encourage honesty, share aggregate results with the team, and act on key themes to build trust in the feedback process.