WEEKLY PULSE CHECK

Share How Your Week Is Going

Your feedback helps your Team Lead better understand your workload, support needs, and overall team experience.

ADR Weekly Team Check-In

Please answer the questions below honestly. Your responses will help your Team Lead stay aware of what’s going well and where extra support may be needed.

Name(Required)

First Last

Who is Your Team Lead?(Required)

On a scale of 1–10, how would you rate your overall week? (1 = Very difficult, 10 = Excellent)(Required)

Please enter a number from 1 to 10.

How manageable was your workload this week? (1 = Overwhelming | 2 = Heavy | 3 = Manageable | 4 = Light | 5 = Too light)(Required)

Please enter a number from 1 to 5.

How would you describe your energy and well-being this week? (1 = Very low | 2 = Somewhat low | 3 = Neutral | 4 = Good | 5 = Excellent)(Required)

Please enter a number from 1 to 5.

If you’d like to share more, please do.

What’s one win or highlight from your week (big or small)?(Required)

Did you face any challenges this week? If so, what were they? (Optional – professional or personal, whatever you’re comfortable sharing.)

Do you feel supported in your role right now? (1 = Not at all | 2 = Slightly | 3 = Moderately | 4 = Well supported | 5 = Very supported)(Required)

Please enter a number from 1 to 5.

Optional: What would make you feel more supported?

How would you rate your stress level this week? (1 = Very low | 2 = Low | 3 = Moderate | 4 = High | 5 = Very high)(Required)

Please enter a number from 1 to 5.

Is there anything happening in your personal life that you’d like us to be aware of (optional)? (This is completely voluntary and share only if you’re comfortable.)

How effective did communication and collaboration feel this week? (1 = Very ineffective | 2 = Somewhat ineffective | 3 = Neutral | 4 = Effective | 5 = Very effective)(Required)

Please enter a number from 1 to 5.

Do you have any feedback, concerns, or suggestions for leadership?

Do you have anything private or confidential you’d like to submit directly to Rebecca?

Yes

No

Your responses above will be sent directly to your Team Lead. If you have additional feedback, comments, or concerns you'd like to submit directly to Rebecca Smith privately, select 'Yes' above to be given access to a separate & private form.