Are you a full-time or part time employee?	Full Time Part Time
How long have you been at RSI	0-6 months 6-12 months 1 year - 23 months 2-3 years 3-7 years more than 7 years
In which program/department do you work?	Day Services Spring Glen ICF Supported Living Independant Living Autism Administrative

New Employee Information: (for employees that have worked for less than 6 months)

How would you rate the pre-hire/interview process?	Very Good Good Acceptable Marginal Poor
How would you rate orientation?	Very Good Good Acceptable Marginal Poor
How would you rate in-house training?	Very Good Good Acceptable Marginal Poor
How would you rate clarity of job expectations?	Very Good Good Acceptable Marginal Poor
How would you rate your job in relation to your expectations?	Very Good Good Acceptable Marginal Poor

Comments for new employees:


Training: (for all employees)

How would you rateyour ongoing training?	Very Good Good Acceptable Marginal Poor
How would you rate training on new procedures and plans	Very Good Good Acceptable Marginal Poor
Are your skills and abilities fully utilized?	Very Good Good Acceptable Marginal Poor

Comments related to training:


Employee Experience: (for all employees)

Salary commensurate with job:	Very Good Good Acceptable Marginal Poor
Clarity of job responsibilities:	Very Good Good Acceptable Marginal Poor
Clarity of payroll policies:	Very Good Good Acceptable Marginal Poor
Clarity of personnel policies:	Very Good Good Acceptable Marginal Poor
Personal job satisfaction:	Very Good Good Acceptable Marginal Poor
Working conditions:	Very Good Good Acceptable Marginal Poor
Do you feel like you know enough about your benefit package?	Very Good Good Acceptable Marginal Poor

Comments relating to employee experience:

Communication and Planning:

How would you rate communication within the organization about policies and changes?	Very Good Good Acceptable Marginal Poor
How would you rate communication with families?	Very Good Good Acceptable Marginal Poor
How would you rate communication with supervisors?	Very Good Good Acceptable Marginal Poor
How would you rate communication with co-workers?	Very Good Good Acceptable Marginal Poor
How would you rate communication with residents' jobs, schools, or day programs?	Very Good Good Acceptable Marginal Poor

Comments related to communication and planning:

Teamwork:

How would you rate teamwork within your department?	Very Good Good Acceptable Marginal Poor
How would you rate morale within your department?	Very Good Good Acceptable Marginal Poor
How effective are staff meetings?	Very Good Good Acceptable Marginal Poor
How would you rate teamwork with family members and outside agencies?	Very Good Good Acceptable Marginal Poor

Comments related to teamwork:


Quality of Life:

How would you rate the residents' day services (work, school, day services)?	Very Good Good Acceptable Marginal Poor
How would you rate residents' overall quality of life?	Very Good Good Acceptable Marginal Poor
How would you rate residents' quality of medical care?	Very Good Good Acceptable Marginal Poor

Name one thing that would increase residents' quality of life:

General
Do you have any suggestions to improve the staff turnover rate?

What do you like best about your job? 

What do you like least about your job? 

If you would like personal follow-up, please give your name: