Employee Survey Participant Screening Form
Full Name
Employee ID
Department
Current Role/Title
Work Email
How long have you worked at the company?
Less than 1 year
1-3 years
3-5 years
More than 5 years
Are you a full-time or part-time employee?
Full-time
Part-time
Are you currently on any kind of leave?
No
Yes
Have you participated in an employee survey within the last 12 months?
No
Yes
If you have any accessibility needs or require accommodations, please specify: