Team Wellness Check-in Template

1. Individual Wellness Assessment

Personal Energy Gauge

Rate your current state (1-5):

• Physical energy: 1-5
• Mental clarity: 1-5
• Emotional balance: 1-5
• Motivation level: 1-5

Work-Life Harmony

• Current work-life balance rating: 1-5
• Main challenges:
  • Challenge 1
  • Challenge 2
• What's working well:
  • Positive aspect 1
  • Positive aspect 2

2. Workload Assessment

Current Workload

• Workload feeling: Too much | Just right | Could handle more
• Project pressure points:
  • Pressure point 1
  • Pressure point 2
• Support needed:
  • Specific support request

Time Management

• Meeting load: Too many | Just right | Too few
• Focus time availability: Sufficient | Insufficient
• Suggested adjustments:
  • Adjustment 1
  • Adjustment 2

3. Team Connection

Collaboration Quality

• Team communication rating: 1-5
• Feeling of inclusion: 1-5
• Psychological safety level: 1-5

Support System

• Go-to team members:
  • For technical support: @team-member
  • For emotional support: @team-member
• Missing support areas:
  • Area needing attention

4. Growth & Development

Learning Opportunities

• Current learning goals:
  • Goal 1
  • Goal 2
• Resources needed:
  • Resource 1
  • Resource 2

Career Path

• Role satisfaction: 1-5
• Growth opportunities: Available | Limited | Unclear
• Desired development areas:
  • Area 1
  • Area 2

5. Team Environment

Remote Work Effectiveness

• Remote setup satisfaction: 1-5
• Tools effectiveness: 1-5
• Improvement suggestions:
  • Suggestion 1
  • Suggestion 2

Team Culture

• Cultural strengths:
  • Strength 1
  • Strength 2
• Areas for improvement:
  • Area 1
  • Area 2

6. Action Planning

Individual Actions

1. Action item 1
2. Action item 2

Team Support Actions

1. Support action 1
2. Support action 2

Leadership Support Needed

1. Support needed 1
2. Support needed 2

7. Follow-up

Check-in Frequency

• Next check-in date: Date
• Preferred check-in interval: Weekly/Bi-weekly/Monthly

Progress Tracking

• Key wellness metrics to track:
  1. Metric 1
  2. Metric 2
  3. Metric 3

Notes

• All responses are confidential
• Be honest and specific in your responses
• Focus on actionable improvements
• Share any urgent concerns immediately with your manager