1. What is your position with Tender Care?
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Choose one
CNA
RN/LPN
Therapist
Other
2. The expectations of my position are clear to me ____ percent of the time.
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3. I have the authority to carry out the responsibilities assigned to me.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
4. I have the skills necessary to carry out my job responsibilities.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
5. I receive adequate, ongoing training and education.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
6. I see opportunities for professional development within my job.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
7. I enjoy my job ____ percent of the time.
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8. I feel Respected and valued____percent of the time.
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9. When I do excellent work, it is recognized ____ percent of the time.
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10. I see myself working for Tender Care in the future.
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Choose One
Less than 1 year
1 year
3 years
5 or more years
11. I understand it is my responsibility to voice questions, comments, and conerns.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
12. I know who to direct questions, comments, and concerns to.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
13. I know what services Tender Care offers.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
14. I understand the mission and values of the company.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Agree
15. While at work, I embody Tender Care's mission and values.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
16. I have confidence in Tender Care's ability to provide quality client care ____ percent of the time.
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17. I believe that Tender Care proficiently manages business development and growth without sacrificing quality, compassionate, supportive client care.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Agree
18. I have confidence in the leadership of upper management.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
19. My supervisor provides clear expectations of the tasks and responsibilities assigned to me.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
20. My supervisor has helped me to establish goals for professional development.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
21. My supervisor has a sincere interest in my career.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
22. I feel like Tender Care has a vested interest in my personal well-being.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
23. There is cohesiveness and cooperation among my peers ____ percent of the time.
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24. Our staff delivers quality care to each client ____ percent of the time.
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25. I participate in my clients' plan of care by providing input to the client's case manager as appropriate ____ percent of the time (type n/a in the box if this statement does not apply to you).
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26. Client care is delivered in an efficient manner ____ percent of the time.
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27. I understand my responsibilities in the event of a natural or man-made disaster.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
28. I know what to do in the event of a medical emergency ____ percent of the times.
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29. I understand what a safety event is.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
30. I know what to do when a safety event occurs ____ percent of the time.
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31. I feel comfortable reporting safety events.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
32. I know what steps to follow if a client or family is dissatisfied or have a complaint.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
33. I know what steps to follow if I am dissatisfied or have a complaint.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
34. I understand what precautions to take in the event of an infections or illness.
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Choose One
Strongly Agree
Agree
Disagree
Strongly Disagree
35. I use appropriate infection control techniques while performing my day to day tasks ____ percent of time.
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Identify three attributes/benefits of a company that you value most.
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Positive atmosphere
Competitive Pay
Flexible Scheduling
Teamwork
Employee recognition
Health Benefits
Opportunity for Advancement
Productivity
Paid Time Off (PTO)
Feel free to write in your own
Please use the space below to write any questions, comments, or concerns you may have.