Workplace Sustainability Survey Template

Use this workplace sustainability survey to find out which resource-saving actions employees can realistically take—and what gets in the way. Seven optional questions focus on opportunities, guidance, tools, work demands and leadership support.

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Use this workplace sustainability survey to find out which resource-saving actions employees can realistically take—and what gets in the way. Seven optional questions focus on opportunities, guidance, tools, work demands and leadership support.

Ask About Work, Not a Generic Green Attitude

Name the worksite or organization and ask about the past four weeks. Describe the resource-saving practices the organization actually allows, with safety and operational rules taking priority. Tell employees who will see responses and how small groups will be protected. The form is for planning a workplace change, not scoring a person's environmental values.

What Workplace Research Adds

Blok, Wesselink, Studynka and Kemp studied employees at a green university in the Netherlands. Their abstract says “there are clear differences between factors influencing pro-environmental behaviour in households and in the workplace.” Read the workplace study . The authors also discuss leadership support. One university's responses do not establish which action will work in another organization, and these original seven questions are not the study's validated measure.

7 Workplace Sustainability Survey Questions

All questions are optional and always visible. Keep the past-four-weeks period consistent. An employee can indicate that no action currently fits their role; do not force a positive behavior report.

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A little feedback. A clearer picture.

Explore this 7-question example at your own pace. Every question is optional.

SurveyLegend demo Question 1 of 7

Workplace Sustainability Survey

01 Which resource-saving action is most relevant to your work?

Choose one answer, or skip this question.

02 During the past four weeks, how often could you take that action during normal work?

Choose one answer, or skip this question.

03 How clear are the instructions for resource-saving actions in your role?

Choose one answer, or skip this question.

04 How available are the tools or facilities needed for the action?

Choose one answer, or skip this question.

05 How easy is it to take the action alongside your normal work duties?

Choose one answer, or skip this question.

06 How clearly do leaders support the resource-saving actions expected at work?

Choose one answer, or skip this question.

07 What one change would make a useful resource-saving action easier in your work?

Share your answer, or skip this question.

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Make the Examples Realistic

Replace the example practices with actions that are genuinely available, permitted and meaningful in the worksite. Test the language with people in different roles and shifts. Publish the actual procedures outside the survey. A team investigating one local collection service should use SurveyLegend’s recycling survey instead; this page asks about work-wide enablers and barriers.

Printable Workplace Sustainability Survey Template

Create a real printable PDF matching all seven questions, the choice order and the four-week reference. Add a privacy/return note and space for the optional improvement idea. Paper responses require separate secure review and are not automatically merged with online responses.

First page of the printable Workplace Sustainability Survey Template with questions and answer spaces
Download the workplace sustainability survey PDF

AI Prompt for a Workplace Sustainability Survey

Use this exact questionnaire as a SurveyLegend drafting specification, then replace generic actions only after checking the worksite's actual rules and options.

Workplace Sustainability Survey Creation Prompt

Copy the prompt into an AI assistant to draft the questions, then build your survey in SurveyLegend.

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Find an Action the Organization Can Support

Read action relevance with opportunity, instructions, available tools and ease during normal duties. A low-use action may be irrelevant, inaccessible or hard to fit into the workflow; do not blame employees before investigating. Compare themes only where group privacy allows, choose one fix, name an owner and check adoption later. Survey answers do not measure emissions, energy savings or waste reduction. For feedback on a particular enrolled initiative, see SurveyLegend’s energy program template.

Frequently asked questions

Is this an environmental impact assessment?

No. It asks employees what actions are relevant and feasible. Quantifying energy, waste or emissions requires separate, appropriate operational data.

Should employees with no relevant action respond?

Yes. Their answers help reveal whether the examples or program design exclude particular roles. The questionnaire provides a “no action” response and allows every item to be skipped.

Does this validate an employee's green behavior?

No. It is an original, short planning questionnaire informed by workplace research, not a validated behavioral scale or an individual performance rating.