Background
How many years have you worked in this building?
Less than 1 year
1-2 years
3-5 years
More than 5 years
How long have you been working at your present workspace?
Less than 3 months
4-6 months
7-12 months
More than 1 year
In a typical week, how many hours do you spend in your workspace?
10 or less
11-30
More than 30
How would you describe the work you do? (check all that apply)
Administrative support
Technical
Professional
Managerial/supervisory
Other:
What is your age?
30 or under
31-50
Over 50
What is your gender?
Female
Male
Personal Workspace Location
On which floor is your workspace located?
choose one
In which area of the building is your workspace located?
choose one
To which direction do the windows closest to your workspace face?
choose one
Are you near an exterior wall (within 15 feet)?
Yes
No
Are you near a window (within 15 feet)?
Yes
No
Personal Workspace Description
Which of the following best describes your personal workspace?
Enclosed office, private
Enclosed office, shared with other people
Cubicles with high partitions (about five or more feet high)
Cubicles with low partitions (lower than five feet high)
Workspace in open office with no partitions (just desks)
Other:
Office Layout
How satisfied are you with the amount of space available for individual work and storage?
Very Satisfied
Very Dissatisfied
You have said that you are dissatisfied with the amount of
space available for individual work and storage. Which of the
following contribute to your dissatisfaction? (check all that apply)
Amount of work surface area
Total area of work station
Available filing and storage space
Available space for personal items
Space for meeting with other people
Other:
How satisfied are you with the level of visual privacy?
Very Satisfied
Very Dissatisfied
You have said that you are dissatisfied with the level of visual
privacy. Which of the following contribute to your
dissatisfaction? (check all that apply)
High density--too little space separating people
Partitions or walls are too low or transparent
People can easily see in through exterior windows
Too many people walking in my work area
How satisfied are you with ease of interaction with co-workers?
Very Satisfied
Very Dissatisfied
You have said that you are dissatisfied with the ease of
interaction with co-workers. Which of the following contribute
to your dissatisfaction? (check all that apply)
My work station is not near my co-workers
My work station is difficult to find or out of the way
Conversations are discouraged because the noise is distracting to others
There are no spaces (i.e., break rooms) to casually interact with co-
workers
There are few organized opportunities to interact with co-workers
Overall, does the office layout enhance or interfere with your ability to get your job done?
Enhances
Interferes
Please describe any other issues related to the office layout that are important to you.
Office Furnishings
How satisfied are you with the comfort of your office furnishings (chair, desk, computer, equipment,
etc.)?
Very Satisfied
Very Dissatisfied
How satisfied are you with your ability to adjust your furniture to meet your needs?
Very Satisfied
Very Dissatisfied
How satisfied are you with the colors and textures of flooring, furniture and surface finishes?
Very Satisfied
Very Dissatisfied
Do your office furnishings enhance or interfere with your ability to get your job done?
Enhances
Interferes
Please describe any other issues related to office furnishings that are important to you.
Thermal Comfort
Which of the following do you personally adjust or control in your workspace? (check all that apply)
Window blinds or shades
Operable window
Thermostat
Portable heater
Permanent heater
Room air-conditioning unit
Portable fan
Ceiling fan
Adjustable air vent in wall or ceiling
Adjustable floor air vent (diffuser)
Door to interior space
Door to exterior space
None of the above
Other:
How satisfied are you with the temperature in your workspace?
Very Satisfied
Very Dissatisfied
You have said that you are dissatisfied with the temperature in
your workspace. Which of the following contribute to your
dissatisfaction?
In warm/hot weather, the temperature in my workspace
is: (check all that apply)
Often too hot
Often too cold
In cool/cold weather, the temperature in my workspace
is: (check all that apply)
Often too hot
Often too cold
When is this most often a problem? (check all that apply)
Morning (before 11am)
Mid-day (11am - 2pm)
Afternoon (2pm - 5pm)
Evening (after 5pm)
Weekends/holidays
Monday mornings
No particular time
Other:
How would you best describe the source of this
discomfort? (check all that apply)
Humidity too high (damp)
Humidity too low (dry)
Air movement too high
Air movement too low
Incoming sun
Hot/cold surrounding surfaces (floor, ceiling, walls or windows)
Heat from office equipment
Drafts from windows
Drafts from vents
My area is hotter/colder than other areas
Thermostat is inaccessible
Thermostat is adjusted by other people
Heating/cooling system does not respond quickly enough to the thermostat
Clothing policy is not flexible
Other:
Overall, does your thermal comfort in your workspace enhance or interfere with your ability to get
your job done?
Enhances
Interferes
Air Quality
How satisfied are you with the air quality in your workspace (i.e. stuffy/stale air,
cleanliness, odors)?
Very Satisfied
Very Dissatisfied
You have said that you are dissatisfied with the air quality in
your workspace. Please rate the level of each of the following
problems:
Air is stuffy/stale
Minor problem
Major problem
Not a problem
Air is not clean
Minor problem
Major problem
Not a problem
Air smells bad (odors)
Minor problem
Major problem
Not a problem
If there is an odor problem, which of the following contribute
to this problem? (check all that apply)
Tobacco smoke
Photocopiers
Printers
Food
Carpet or furniture
Other people
Perfume
Cleaning products
Outside sources (car exhaust, smog)
Other:
Overall, does the air quality in your workspace enhance or interfere with your ability to
get your job done?
Enhances
Interferes
Lighting
Which of the following controls do you have over the lighting
in your workspace? (check all that apply)
Light switch
Light dimmer
Window blinds or shades
Desk (task) light
None of the above
Other:
How satisfied are you with the amount of light in your workspace?
Very Satisfied
Very Dissatisfied
How satisfied are you with the visual comfort of the lighting (e.g., glare, reflections,
contrast)?
Very Satisfied
Very Dissatisfied
Overall, does the lighting quality enhance or interfere with your ability to get your job
done?
Enhances
Interferes
You have said that you are dissatisfied with the lighting in
your workspace. Which of the following contribute to your
dissatisfaction? (check all that apply)
Too dark
Too bright
Not enough daylight
Too much daylight
Not enough electric lighting
Too much electric lighting
Electric lighting flickers
Electric lighting is an undesirable color
No task lighting
Reflections in the computer screen
Shadows on the workspace
Other:
Please describe any other issues related to lighting that are important to you.
Acoustic Quality
How satisfied are you with the noise level in your workspace?
Very Satisfied
Very Dissatisfied
How satisfied are you with the sound privacy in your workspace (ability to have
conversations without your neighbors overhearing and vice versa)?
Very Satisfied
Very Dissatisfied
Overall, does the acoustic quality in your workspace enhance or interfere with your
ability to get your job done?
Enhances
Interferes
You have said you are dissatisfied with the acoustics in your workspace. Which of the
following contribute to this problem? (check all that apply)
People talking on the phone
People talking in neighboring areas
People overhearing my private conversations
Office equipment noise
Office lighting noise
Telephones ringing
Mechanical (heating, cooling and ventilation systems) noise
Excessive echoing of voices or other sounds
Outdoor traffic noise
Other outdoor noise
Other:
Cleanliness and Maintenance
How satisfied are you with general cleanliness of the overall building?
Very Satisfied
Very Dissatisfied
How satisfied are you with cleaning service provided for your workspace?
Very Satisfied
Very Dissatisfied
How satisfied are you with general maintenance of the building?
Very Satisfied
Very Dissatisfied
Does the cleanliness and maintenance of this building enhance or interfere with your
ability to get your job done?
Enhances
Interferes
Building Features
Considering energy use, how efficiently is this building performing in your opinion?
Very energy efficient
Not at all energy efficient
Comments:
For each of the building features listed below, please indicate how satisfied you are
with the effectiveness of that feature:
Floor air vents
Very Satisfied
Very Dissatisfied
I have no experience with it
Comments:
Thermostats
Very Satisfied
Very Dissatisfied
I have no experience with it
Comments:
Light switches
Very Satisfied
Very Dissatisfied
I have no experience with it
Comments:
Automatic daylight controls
Very Satisfied
Very Dissatisfied
I have no experience with it
Comments:
Occupancy sensors for lighting
Very Satisfied
Very Dissatisfied
I have no experience with it
Comments:
Window blinds
Very Satisfied
Very Dissatisfied
I have no experience with it
Comments:
Roller shades
Very Satisfied
Very Dissatisfied
I have no experience with it
Comments:
Exterior shades
Very Satisfied
Very Dissatisfied
I have no experience with it
Comments:
Low flow faucets
Very Satisfied
Very Dissatisfied
I have no experience with it
Comments:
Private meeting rooms
Very Satisfied
Very Dissatisfied
I have no experience with it
Comments:
Security system
Very Satisfied
Very Dissatisfied
I have no experience with it
Comments:
How well informed do you feel about using the above mentioned features in this
building?
Very well informed
Not well informed
Please describe any other issues related to the design and operation of the above
mentioned features that are important to you.
General Comments
All things considered, how satisfied are you with your personal workspace?
Very Satisfied
Very Dissatisfied
Please estimate how your productivity is increased or decreased by the environmental
conditions in this building (e.g. thermal, lighting, acoustics, cleanliness):
Increased
20% 10% 5% 0% -5% -10% -20%
Decreased
How satisfied are you with the building overall?
Very Satisfied
Very Dissatisfied
Any additional comments or recommendations about your personal workspace or
building overall?
