Surveys & Screening

Employee Satisfaction Survey

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Employee Satisfaction Survey

Your survey responses will...

HELP your opinions be heard.
HELP make leadership aware of areas that need improvement.
NOT identify you. All responses are confidential and anonymous.
NOT be shared with federal or state officials.

INTRUCTIONS:

Choose the response that corresponds with your level of disagreement or agreement with the statement, where 1 is strongly disagree and 5 is strongly agree.

For Example: 1 2 3 4 5

Choose 3 if you neither agree nor disagree with the statement.
Once completed, please submit the completed survey

Enter Your Facility Name *

Job Satisfaction

1. My work has a positive impact on residents' lives. *

	1	2	3	4	5

2. I feel the care I provide is appreciated by the residents and their families. *

	1	2	3	4	5

3. My supervisor appreciates the work I do for residents. *

	1	2	3	4	5

4. I have the resources and equipment necessary to perform my assignments well. *

	1	2	3	4	5

5. I would recommend working here to my friends. *

	1	2	3	4	5

6. Staff receive appropriate recognition. *

	1	2	3	4	5

7. My workplace is safe and well-maintained. *

	1	2	3	4	5

8. I feel that my pay is fair for the local community. *

	1	2	3	4	5

Team Building and Communication

9. Co- workers value the role I play in providing resident care. *

	1	2	3	4	5

10. Co-workers from all departments support residents and each other. *

	1	2	3	4	5

11. My co-workers put the residents first. *

	1	2	3	4	5

12. My team communicates well. *

	1	2	3	4	5

13. I take pride in my team and the work we do to care for residents. *

	1	2	3	4	5

14. My supervisor participates in activities that support resident care and services. *

	1	2	3	4	5

15. I am encouraged to participate in decisions that affect my work. *

	1	2	3	4	5

16. I am provided information in a timely manner so I can perform my assignments well. *

	1	2	3	4	5

Scheduling and Staffing

17. I usually have a consistent assignment. *

	1	2	3	4	5

18. I have input into the development of my schedule. *

	1	2	3	4	5

19. I usually have a reasonable workload. *

	1	2	3	4	5

20. My supervisor allows adjustments to schedules when needs arise. *

	1	2	3	4	5

Training

21. During orientation, I received the training I need to do my job. *

	1	2	3	4	5

22. My supervisor and I talk about my training needs. *

	1	2	3	4	5

23. I am provided training opportunities to improve my skills. *

	1	2	3	4	5

24. I receive the training necessary to address resident and family concerns. *

	1	2	3	4	5

25. I am given opportunities for professional growth. *

	1	2	3	4	5

26. I find our in-services training valuable. *

	1	2	3	4	5

Management and Leadership

For this survey, leadership means the group of individuals who oversee this nursing home.

27. The administrator is available and is open to speaking with me. *

	1	2	3	4	5

28. The Director of Nursing is available and is open to speaking with me. *

	1	2	3	4	5

29. I can talk openly and honestly with my supervisor about work-related issues. *

	1	2	3	4	5

30. My supervisor values my opinions. *

	1	2	3	4	5

31. My supervisor respects me and treats me fairly. *

	1	2	3	4	5

32. Leadership promotes a positive workplace. *

	1	2	3	4	5

Practice Questions

For this survey, contractor means an individual who works within this nursing home but is employed by a different company.

33. How long have you been employed here? *

0-6 months

7-18 months

19 months-3years

3+ years

34. Are you a supervisor? *

35. Are you a contractor? *

PLEASE ADD ANY ADDITIONAL COMMENTS OR CONCERNS IN THE BELOW YOU WOULD LIKE TO SHARE WITH MANAGEMENT:

Name (Optional)

CONGRATULATIONS! YOU'RE DONE!

Thank you for completing this survey! All surveys will be compiled to identify high priority areas for improvement. Making these improvements will lead to a better culture and employee experience. If you have questions, please contact a member of the Survey Team.