EMPLOYEE SATISFACTION QUESTIONNAIRE
We are interested in your ideas or opinions about our care/services administration.
Please take a moment to answer the following questions. Additional comments are welcome and can be recorded on the back of this form. If you need assistance in completing this form, please feel free to contact our office. We make improvements only if you participate and provide us feedback on how management and/or staff may improve service delivery and overall workplace job satisfaction.
For questions 1-10, please circle the appropriate number that best describes your opinion.
1-Poor 2-Fair 3-Good 4-Excellent 5-Not Applicable (N/A)