SimilarForm · Prepared 2026-10-29

Employee pulse survey: results and action worksheet

Copy one block per question or theme. Record aggregate counts only. Keep individual responses and identifying comments out of this shared worksheet.

Click each box to enter notes. Save an edited HTML copy to keep your entries, or print / save a PDF. This file does not transmit answers or store them automatically. Keep the blank master for reuse.

An original question set for team improvement, not a validated employee-engagement instrument or an individual performance rating. The worked results are fictional.

1. Team / reporting group and survey period
2. Who can view this worksheet; reporting and retention rules
3. Invited / surveys returned
4. Question wording and response choices
5. Counts: 1 / 2 / 3 / 4 / 5 / not applicable / prefer not to answer / blank
6. Valid ratings / favorable ratings / favorable percentage (calculate separately)
7. What the responses suggest; what remains uncertain
8. One action and the person responsible
9. Due date and evidence that the action happened
10. Next review date and question to repeat