Quality Assurance Survey: Clinician – Homeplace Support Services

Your responses are anonymous and important to our continued work to improve the quality of services that Homeplace provides. We appreciate your participation!

1. I am treated with respect by all Homeplace staff.

Yes
No
No Response

Comments:

2. My supervisor is responsive to my concerns and addresses them promptly.

Yes
No
No Response

Comments:

3. My supervisor supports me in my job.

Yes
No
No Response

Comments:

4. My supervisor provides me with additional training and guidance when I request it.

Yes
No
No Response

Comments:

5. I am treated fairly by my supervisor.

Yes
No
No Response

Comments:

6. I feel that I am valued as a clinician.

Yes
No
No Response

Comments:

7. I feel that I have input in decisions regarding how I do my job.

Yes
No
No Response

Comments:

8. I feel that I have input into and am informed of changes in agency policy and procedures.

Yes
No
No Response

Comments:

9. I feel that I receive adequate training to perform my duties well.

Yes
No
No Response

Comments:

10. Homeplace staff support me in improving my performance and learning how to do better.

Yes
No
No Response

Comments:

Comments / Future Question Suggestions

Please feel free to provide us with any additional comments or questions you would like to see added to future Quality Assurance Surveys.

Comments / Additional Questions

Name

This field is for validation purposes and should be left unchanged.