What's in this template
One question with five clearly-spaced options. The scale matters: vague middle options produce vague data, so each choice here describes a distinct state.
Why weekly beats annual
Annual surveys measure the wrong moment
A once-a-year engagement survey captures how people felt in the week it landed. A weekly pulse captures the pattern, which is the thing you can actually manage.
The trend is the signal
One bad week means nothing. Three consecutive declining weeks from the same team means something specific happened, and you can still ask what.
Anonymity is non-negotiable here
Nobody selects 'struggling' with their name attached to it. If you can't run it anonymously, don't run it — you'll get a wall of 'good' and learn nothing.
Acting on it is the whole point
A pulse you never respond to teaches people it's theatre, and response rates collapse within a month. Say what you noticed and what you're doing.
Run it in three steps
Send it the same day each week
Friday afternoon or Monday morning. Consistency matters more than which day you pick.
Keep it anonymous
Leave name collection off and enable Anonymous Mode. The honesty this buys is the entire value.
Report back
Share what you noticed and what changes. This is what keeps response rates up past week three.