A 1 to 5 rating of the week, two choice questions and three short open questions. It asks for no name.
Make it with my AI
Paste this into your AI. It needs the creator MCP.
Create a form with AI Form API called "Weekly pulse survey".
Description: Six quick questions about your week. We do not ask for your name.
Fields:
- week_mood: rating 1 to 5, required, "How was your week?"
- workload: single_choice, required, options Too light, About right, Too heavy
- priorities_clear: single_choice, required, options Yes, Mostly, No
- wins: long_text, optional, "What went well this week?"
- blockers: long_text, optional, "What slowed you down?"
- one_change: long_text, optional, "If we could change one thing next week, what should it be?"
Turn agent_fill on, then give me the public link.Tips
- Share the same link every week. Use
sinceon the responses call to fetch only last week. - Visitors can use their own AI: agent-fillable forms. More templates.
Questions
Is this survey anonymous?
The form asks for no name. We store a salted hash of the visitor IP address, so we do not promise full anonymity.
How often should I send a pulse survey?
Weekly or every two weeks. Pick a rhythm and keep it.
Can I build a different survey?
Yes. Use any of the 11 field types, up to 50 fields.