Free Nursing Home Employee Satisfaction Form Template
Nursing Home Employee Satisfaction Form
Date: [Month Day, Year]
Please answer all questions honestly. No personal information will be disclosed.
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Full Name: |
[Name] |
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Department: |
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Email Address: |
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Phone Number: |
Survey Questions
Please rate the following statements on a scale from 1 (Strongly Disagree) to 5 (Strongly Agree).
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Statement |
1 |
2 |
3 |
4 |
5 |
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I feel welcomed and valued in my workplace. |
✔ |
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My workplace promotes a culture of respect. |
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I have the resources needed to perform my job. |
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My job responsibilities are clear and manageable. |
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I receive recognition for my work. |
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My work gives me a sense of accomplishment. |
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I trust my supervisor/manager. |
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Communication from management is clear. |
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There are opportunities for professional growth. |
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I am encouraged to pursue further training. |
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Feedback provided to me is constructive. |
Open-Ended Questions:
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What do you enjoy most about working at [Your Company Name]?
I am satisfied with the balance between my work and personal life.
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What changes would you suggest to improve the workplace?
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Any additional comments or concerns you would like to share?
Employee Signature:
[Name]
[Job Title]
[Month Day, Year]
Thank you for participating. Your feedback is invaluable and will be used to improve our workplace.
