About this template
Ensuring a safe, comfortable, and healthy indoor environment is vital for employee well-being and productivity. This Air Quality Survey template helps organizations systematically collect vital feedback from staff regarding office air conditions, ventilation, cleanliness, and potential health symptoms. Designed for facilities managers, human resources professionals, and operations teams, this questionnaire pinpoints environmental issues before they impact team morale or health.
The form covers key workplace environmental factors including indoor air movement, unusual odors, temperature control issues, recent renovations, and signs of moisture or mold. It also gathers staff-reported symptoms and general workplace comfort metrics to help safety committees investigate complaints thoroughly. By using Doc2Form to instantly convert and deploy this questionnaire as a Google Form, you can centralize your workplace safety data and take proactive corrective actions with ease.
Key features
- Capture specific indoor air quality issues and unusual odor reports.
- Assess building cleanliness, ventilation, and air movement ratings.
- Track frequent physical symptoms and their relation to specific work hours.
- Document recent building renovations, water leaks, or mold concerns.
- Easily review all submitted responses directly inside Google Sheets.
Use cases
Routine indoor environmental quality assessments for corporate offices.
Investigating employee health complaints related to workplace ventila…
Investigating employee health complaints related to workplace ventilation.
Pre- and post-renovation indoor air quality monitoring.
Gathering data for workplace health and safety committee reviews.
What this form collects
- Full Name (Short answer)Optional — leave blank if you prefer to submit anonymously.
- Office Location / Department (Short answer)Specify your floor, building, or primary work area.
- Daily Time Working in Office (Dropdown)How many hours do you typically spend working in this office per day?
- Office Air Quality Description (Multiple choice)How would you generally describe the air quality in your work area?
- Indoor Air Quality Issues (Checkboxes)Select any specific issues you have noticed in your workspace.
- Unusual Odor Status (Multiple choice)Have you noticed any unusual or unpleasant odors in your work area?
- Odor Details (Paragraph)If you answered yes, please describe the odor and when it typically occurs.
- Air Quality Issue Time of Day (Dropdown)When do you notice air quality issues most frequently?
- Office Air Movement Rating (Linear scale)Rate the circulation and airflow in your primary workspace.
- Building Cleanliness Rating (Linear scale)Rate the overall cleanliness and dust management of your office.
- Frequent Symptoms Experienced (Last 6 Months) (Checkboxes)Select any symptoms you frequently experience while at work.
- Symptoms After Leaving Work (Multiple choice)Do your symptoms typically improve or disappear when you leave the building?
- Mold or Water Leak Details (Paragraph)Please describe any past or current water leaks, damp spots, or visible mold.
- Renovations Near Work Area (Multiple choice)Have there been any recent construction, painting, or renovation activities near your desk?
- Additional Comments and Suggestions (Paragraph)Please share any other details or recommendations to help improve indoor air quality.
FAQ
How do I share this survey with my employees?
Once Doc2Form generates your Google Form, you can easily share it via a direct link, email invitation, or embed it on your company's internal intranet.
Can I modify the questions to fit our specific office building?
Yes! Because the form lives directly in your Google account, you have full freedom to add, remove, or edit any questions to match your exact facility layout.
Where is the survey data stored?
All responses are saved securely in your own Google Drive and automatically populated into a connected Google Sheet for seamless analysis.
Is this template free to use?
Yes, you can use Doc2Form to instantly convert and launch this template as a Google Form at no cost.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.