--- generated_by: surveylegend-page-markdown title: Air Quality Survey Template | SurveyLegend description: Collect workplace feedback on indoor air conditions. Ask about locations, timing, odors, and reporting routes to guide a facilities follow-up. canonical: https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/air-quality-template/ --- # Air Quality Survey Template [Create your survey ](https://app.surveylegend.com/register/)[Try the survey](https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/air-quality-template/#try-template) Preview on a device Show the desktop survey preview Show the tablet survey preview Show the mobile survey preview ![Air Quality Survey: first question and response field, desktop preview](https://www.surveylegend.com/survey-template-media/previews/air-quality-demo-preview.avif) ![Air Quality Survey: first question and response field, tablet preview](https://www.surveylegend.com/survey-template-media/previews/air-quality-demo-preview-tablet.avif) ![Air Quality Survey: first question and response field, mobile preview](https://www.surveylegend.com/survey-template-media/previews/air-quality-demo-preview-phone.avif) Air Quality Survey [Preview](https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/air-quality-template/#try-template) Share [Facebook ](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fenvironment-sustainability-surveys%2Fair-quality-template%2F)[LinkedIn ](https://www.linkedin.com/sharing/share-offsite/?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fenvironment-sustainability-surveys%2Fair-quality-template%2F)[X ](https://x.com/intent/tweet?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fenvironment-sustainability-surveys%2Fair-quality-template%2F\&text=Air%20Quality%20Survey%20Template)[Reddit](https://www.reddit.com/submit?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fenvironment-sustainability-surveys%2Fair-quality-template%2F\&title=Air%20Quality%20Survey%20Template) Use this air quality survey template to collect employees' observations about indoor conditions at work. Eight questions identify the locations, times, odors, and stuffiness people want the facilities team to investigate. Adapt the questionnaire in SurveyLegend to organize follow-up. Responses describe people's experience; they do not measure pollutant levels or establish whether a building is safe. ## When to use this air quality survey Use the survey for a defined building or area and a recent period, such as the last two weeks. Explain where urgent concerns should be reported instead of waiting for a survey review. Ask for enough location detail to investigate without requesting a respondent's medical history. This is a facilities-feedback questionnaire, not an environmental test, health assessment, or replacement for your existing incident-reporting process. **Create your air quality survey in SurveyLegend** Collect workplace feedback on indoor air conditions. Ask about locations, timing, odors, and reporting routes to guide a facilities follow-up. ## 8 questions for your air quality survey Start with these questions and adapt them to your audience. Every field is optional. Where answer choices are listed, respondents choose one. Respondent introduction:\ Please answer about the work area and the last two weeks. Share observations, not personal health details. Use your usual reporting route for urgent concerns; this survey is not an emergency channel. All questions are optional. Try the survey ## A little feedback. A clearer picture. Explore this 8-question example at your own pace. Every question is optional. Preview on a device Show the survey at full desktop width Resize the survey to a tablet-width preview Resize the survey to a mobile preview with scrolling inside the frame Choose a look Use Classic: a white survey card over the background photo Use Light: dark text over a light tint covering the background photo Use Dark: light text over a dark tint covering the background photo SurveyLegend demo Question 1 of 8 ### Air Quality Survey 01 Which work area are your observations about? Please use a room, floor, or zone name rather than a person's name. Share your answer, or skip this question. 02 During the last two weeks, how often have you spent time in that area? Choose one answer, or skip this question. Most working days Several days Once or twice Not during this period 03 During the last two weeks, how often did the air in that area feel stuffy to you? Choose one answer, or skip this question. Never Rarely Sometimes Often Every time I was there I did not spend enough time there to judge 04 Did you notice an odor in that area that you wanted someone to investigate? Choose one answer, or skip this question. Yes No Not sure I was not in that area during this period 05 If you noticed a concern, when did it occur? Include the approximate day or time if you remember. Share your answer, or skip this question. 06 What did you observe, and what was happening nearby at the time? Please avoid personal health information. Share your answer, or skip this question. 07 Do you know how to report a facilities concern about indoor air? Choose one answer, or skip this question. Yes No Not sure 08 What would make it easier for you to report or follow up on this concern? Share your answer, or skip this question. #### One last look Review your answers before submitting this demo. 0 answered #### Thank you for trying the survey! You’ve tried the template from the respondent’s side. Make it your own with SurveyLegend. [Create your own survey](https://www.surveylegend.com/register/) Checking submission availability… This is a demo. We count starts and submissions only. Your answers stay in your browser and are never sent or saved. **—**Starts **—**Submissions Activity is temporarily unavailable. ## How to customize your air quality survey List recognizable areas such as floors, meeting rooms, or work zones. Include an option for people who have not spent enough time there to answer. Keep the wording neutral: ask what someone noticed without suggesting a cause. State when facilities staff will review responses and provide a separate contact route for follow-up. You can combine choice fields and written details using SurveyLegend's [survey and form features](https://www.surveylegend.com/features/). ## Printable air quality survey template Use this printable air quality survey template for employees who prefer to record workplace observations on paper. Leave copies in an appropriate staff area and explain where completed forms should go. SurveyLegend supports an online option alongside the printed questionnaire. [![](https://www.surveylegend.com/user-guide-media/icons/download-pdf.svg) Download PDF](https://www.surveylegend.com/downloads/survey-templates/air-quality-template.pdf) Export air quality survey template as PDF ## AI prompt for an air quality survey Create an air quality survey in SurveyLegend with questions about work areas, timing, odors, perceived stuffiness, and reporting routes. The full prompt below includes all 8 questions and their response settings. Copy it, register for a free SurveyLegend account, and paste it into SurveyLegend's AI survey creation tool. Review and customize the result before sharing. AI prompt for an air quality survey [Use prompt directly in SurveyLegend](https://www.surveylegend.com/register/) Create a free account, then paste the copied prompt into SurveyLegend. Already have an account? [Sign in to create your air quality survey.](https://app.surveylegend.com/login/) ## Organize air-condition observations for facilities follow-up Group observations by location and time to find patterns that need investigation. Keep reports of odors separate from reports of stuffiness instead of combining them into a single air-quality score. Cross-check the circumstances with the facilities team and arrange appropriate investigation where needed. Neither a low complaint count nor a high satisfaction rating demonstrates safe air. Tell respondents how to raise a concern again if it continues. ## Frequently asked questions ### Can a survey measure indoor air quality? No. It can record people's observations and help identify where to look next. Measurements and a suitable investigation are needed to assess environmental conditions; a perception questionnaire cannot provide those results. ### Should the survey ask about medical symptoms? This starter deliberately avoids health-history and symptom questions. It focuses on locations, timing, and observable conditions that a facilities team can follow up. Use a separate appropriate process when a concern needs individual attention. ### What if someone reports an urgent problem? Make the existing urgent-reporting route clear before you distribute the survey. Explain that the questionnaire is reviewed on a schedule and is not monitored as an emergency channel. Environment & sustainability Survey Templates 1. [![Preview of the Agriculture Survey demo showing its first question and response field](https://www.surveylegend.com/survey-template-media/previews/agriculture-demo-preview.avif) Agriculture Survey Template Environment & sustainability Use this agriculture survey template to understand the operations and support needs of the farms you work with. Eight questions cover production activities, the coming season, practical obstacles, and useful forms of assistance. Adapt the questionnaire in SurveyLegend for your area, then use the answers to plan a more relevant follow-up.](https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/agriculture-template/) Free survey maker ## Start creating surveys today *for free* Create and bring your ideas to life with the survey tool used by people all over the world. [Get started for free ](https://app.surveylegend.com/register/)[Book a demo](https://www.surveylegend.com/schedule-a-demo-of-surveylegend/) Academic research survey ### Ready to collect better research data? Create academic surveys and questionnaires from ready-made templates. [Sign up!](https://app.surveylegend.com/register/) Share this page [Facebook ](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fenvironment-sustainability-surveys%2Fair-quality-template%2F)[LinkedIn ](https://www.linkedin.com/sharing/share-offsite/?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fenvironment-sustainability-surveys%2Fair-quality-template%2F)[X ](https://x.com/intent/tweet?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fenvironment-sustainability-surveys%2Fair-quality-template%2F\&text=Air%20Quality%20Survey%20Template)[Reddit](https://www.reddit.com/submit?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Fenvironment-sustainability-surveys%2Fair-quality-template%2F\&title=Air%20Quality%20Survey%20Template) Ready when you are ## Create your air quality survey in SurveyLegend Give employees a clear way to report where and when they notice indoor-air concerns. Name the work area, review period, and separate urgent-reporting route. [Start free](https://app.surveylegend.com/register/) to create your air quality survey. [*Self-serve* Start free Create your first survey in minutes **Start free** ](https://app.surveylegend.com/register/)[*Guided help* Book a demo Talk with a SurveyLegend expert and choose the right plan. **Book a demo**](https://www.surveylegend.com/schedule-a-demo-of-surveylegend/)