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\fancyhead[L]{\small\color{headerblue} Research Survey --- Confidential}
\fancyhead[R]{\small\color{headerblue} Survey ID: WBE-2025-047}
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\newcommand{\likertscale}{%
\begin{tabular}{@{}ccccc@{}}
\footnotesize Strongly & \footnotesize Disagree & \footnotesize Neutral & \footnotesize Agree & \footnotesize Strongly \\[-2pt]
\footnotesize Disagree & & & & \footnotesize Agree \\[2pt]
$\bigcirc$ & $\bigcirc$ & $\bigcirc$ & $\bigcirc$ & $\bigcirc$ \\
1 & 2 & 3 & 4 & 5
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\title{\textbf{\color{headerblue}Workplace Wellbeing and Employee\\Engagement Survey}\\\vspace{0.3em}\large Research Questionnaire --- Fall 2025}
\author{Organizational Psychology Research Lab\\Department of Psychology, University of Michigan}
\date{}
\begin{document}
\maketitle
\thispagestyle{fancy}
\begin{center}
\fbox{\parbox{0.9\textwidth}{
\textbf{Purpose:} This survey is part of an IRB-approved study (Protocol \#HUM-2025-0293) examining the relationship between workplace environments and employee wellbeing. Your participation is voluntary and all responses are anonymous. Estimated completion time: 12--15 minutes.
\textbf{Instructions:} Please answer all questions honestly. For multiple-choice items, check the box or circle that best represents your response. There are no right or wrong answers.
}}
\end{center}
\vspace{8pt}
\section*{\color{headerblue} Section A: Demographics}
\question{What is your age range?}
\begin{multicols}{3}
\begin{itemize}[label={}, leftmargin=0pt, itemsep=1pt]
\item \choicebox 18--24
\item \choicebox 25--34
\item \choicebox 35--44
\item \choicebox 45--54
\item \choicebox 55--64
\item \choicebox 65 or older
\end{itemize}
\end{multicols}
\question{What is your gender identity?}
\begin{multicols}{2}
\begin{itemize}[label={}, leftmargin=0pt, itemsep=1pt]
\item \choicebox Woman
\item \choicebox Man
\item \choicebox Non-binary / Genderqueer
\item \choicebox Prefer to self-describe: \rule{3cm}{0.3pt}
\item \choicebox Prefer not to say
\end{itemize}
\end{multicols}
\question{How long have you been employed at your current organization?}
\begin{multicols}{2}
\begin{itemize}[label={}, leftmargin=0pt, itemsep=1pt]
\item \choicebox Less than 1 year
\item \choicebox 1--3 years
\item \choicebox 4--6 years
\item \choicebox 7--10 years
\item \choicebox More than 10 years
\end{itemize}
\end{multicols}
\question{Which best describes your work arrangement?}
\begin{multicols}{2}
\begin{itemize}[label={}, leftmargin=0pt, itemsep=1pt]
\item \choicebox Fully on-site
\item \choicebox Hybrid (mix of on-site and remote)
\item \choicebox Fully remote
\item \choicebox Other: \rule{4cm}{0.3pt}
\end{itemize}
\end{multicols}
\section*{\color{headerblue} Section B: Job Satisfaction}
\textit{For each statement, circle the number that best reflects your level of agreement.}
\question{I find my work meaningful and purposeful.}
\begin{center}\likertscale\end{center}
\question{I have the resources and tools I need to do my job effectively.}
\begin{center}\likertscale\end{center}
\question{My workload is manageable within normal working hours.}
\begin{center}\likertscale\end{center}
\question{I receive adequate recognition for my contributions.}
\begin{center}\likertscale\end{center}
\question{I see clear opportunities for professional growth and advancement.}
\begin{center}\likertscale\end{center}
\section*{\color{headerblue} Section C: Workplace Environment}
\question{How would you rate the overall physical comfort of your workspace?}
\begin{multicols}{2}
\begin{itemize}[label={}, leftmargin=0pt, itemsep=1pt]
\item \choicebox Excellent
\item \choicebox Good
\item \choicebox Adequate
\item \choicebox Poor
\item \choicebox Very Poor
\item \choicebox Not applicable (remote)
\end{itemize}
\end{multicols}
\question{My team communicates openly and effectively.}
\begin{center}\likertscale\end{center}
\question{I feel psychologically safe to express my opinions and take risks at work.}
\begin{center}\likertscale\end{center}
\question{Which of the following workplace benefits do you value most? (Select up to 3)}
\begin{multicols}{2}
\begin{itemize}[label={}, leftmargin=0pt, itemsep=1pt]
\item \choicebox Flexible working hours
\item \choicebox Remote work options
\item \choicebox Health and wellness programs
\item \choicebox Professional development funding
\item \choicebox Mental health support
\item \choicebox Parental leave policies
\item \choicebox Retirement contributions
\item \choicebox Other: \rule{3cm}{0.3pt}
\end{itemize}
\end{multicols}
\section*{\color{headerblue} Section D: Wellbeing}
\question{On average, how many hours of sleep do you get on work nights?}
\begin{multicols}{2}
\begin{itemize}[label={}, leftmargin=0pt, itemsep=1pt]
\item \choicebox Fewer than 5 hours
\item \choicebox 5--6 hours
\item \choicebox 6--7 hours
\item \choicebox 7--8 hours
\item \choicebox More than 8 hours
\end{itemize}
\end{multicols}
\question{During the past month, how often have you felt stressed due to work?}
\begin{multicols}{2}
\begin{itemize}[label={}, leftmargin=0pt, itemsep=1pt]
\item \choicebox Never
\item \choicebox Rarely (1--2 times)
\item \choicebox Sometimes (weekly)
\item \choicebox Often (several times a week)
\item \choicebox Always (daily)
\end{itemize}
\end{multicols}
\question{I am able to maintain a healthy boundary between work and personal life.}
\begin{center}\likertscale\end{center}
\section*{\color{headerblue} Section E: Open-Ended Questions}
\question{What is the single most important change your organization could make to improve your day-to-day work experience?}
\vspace{8pt}\noindent\rule{\linewidth}{0.3pt}
\vspace{8pt}\noindent\rule{\linewidth}{0.3pt}
\vspace{8pt}\noindent\rule{\linewidth}{0.3pt}
\vspace{8pt}\noindent\rule{\linewidth}{0.3pt}
\question{Describe a recent experience at work that made you feel valued or engaged. What specifically made it meaningful?}
\vspace{8pt}\noindent\rule{\linewidth}{0.3pt}
\vspace{8pt}\noindent\rule{\linewidth}{0.3pt}
\vspace{8pt}\noindent\rule{\linewidth}{0.3pt}
\vspace{8pt}\noindent\rule{\linewidth}{0.3pt}
\question{Is there anything else you would like to share about your workplace experience?}
\vspace{8pt}\noindent\rule{\linewidth}{0.3pt}
\vspace{8pt}\noindent\rule{\linewidth}{0.3pt}
\vspace{8pt}\noindent\rule{\linewidth}{0.3pt}
\vspace{8pt}\noindent\rule{\linewidth}{0.3pt}
\vspace{16pt}
\begin{center}
\fbox{\parbox{0.8\textwidth}{\centering
\textbf{Thank you for completing this survey.}\\
Your responses will be kept strictly confidential and used only for research purposes.\\
If you have questions, contact the research team at \texttt{[email protected]}.
}}
\end{center}
\end{document}

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