Senior Home Care Crossville TN

Employee Feedback Form

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We value your input. Please share your experience to help us improve workplace culture and support.

Employee Name (optional)

Date

How satisfied are you with your current role?

Do you feel your job responsibilities are clearly defined?

I feel supported by my supervisor and office staff.

Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied

I have the tools and training needed to do my job well.

I feel safe and respected in my work environment.

How would you rate communication from the office?

I feel my feedback is valued by the company.

The company prioritizes client safety and staff support

I understand the agency’s policies and expectations.

What policies or expectations do you need help understanding?

I would recommend this agency to others.

My schedule is consistent and manageable.

I am given enough notice for shift changes.

I am able to maintain work-life balance.

I feel confident in my training for client care.

I would benefit from additional training in:

I know how to report an incident or concern.

I understand the agency’s abuse/neglect reporting protocol.

What aspects of your job do you enjoy most?

What aspects of your job do you find challenging?

What suggestions do you have to improve our agency or your work experience?

One thing I wish the agency understood about my role:

I feel most appreciated when:

Additional Comments (Optional)

Would you like someone to follow up?”

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