Care Home Staff Satisfaction Survey Template

Retirement home employee satisfaction survey with 13 questions covering job satisfaction, teamwork, staffing, training, and management.

Print this ready-made questionnaire and hand it out, then scan and upload the completed forms to read the answers automatically. You can also share the same questionnaire online. The preview below shows the paper version.

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This retirement home employee satisfaction survey helps care home operators hear directly from the caregivers, nurses, and support staff who look after residents every day. It is designed for aged care and nursing home teams that want honest feedback on workload, support, and safety. The template has 13 questions across three pages and takes about ten minutes to complete.

What this survey measures

The survey groups questions into the areas that shape daily working life in a care home. Staff rate statements on job satisfaction and the value of their work, teamwork and communication across departments, scheduling and staffing balance, training and professional growth, and the availability and fairness of management. An overall job satisfaction rating and a recommend-as-an-employer score give you two numbers to track over time, and short questions on tenure, role, shift, and working hours let you compare responses between groups. Two comment boxes close the survey.

How to use it on paper

Print the survey and place copies in the break room, at the nurses' station, or hand them out during a team meeting. Ask staff to use a blue or black pen and to mark the box that matches their view. Provide a sealed drop box so responses stay anonymous and people feel free to be candid. Once forms come back, scan them with PaperSurvey to read every marked box automatically and turn the stack into results you can act on.

Customize this template

Most teams add their logo, adjust the rating scale wording, or swap in statements that reflect their own policies and departments. You can add or remove questions for specific roles, and the layout reflows automatically so spacing and page breaks stay clean.

Preview the PDF above, or use this template to start collecting responses today.

Paper and web from one template

Use this questionnaire on paper, online, or both, and collect all responses in one place. Open it in a new tab. This is a preview only. Responses are not saved.

Questions in this template

  1. How much do you agree with the following statements?
  2. How much do you agree with the following statements?
  3. How much do you agree with the following statements?
  4. How much do you agree with the following statements?
  5. How much do you agree with the following statements?
  6. How satisfied are you with your job overall?
  7. How likely are you to recommend working here to a friend or colleague?
  8. How long have you worked at this home?
  9. Which best describes your role?
  10. Which shift do you most often work?
  11. What are your working hours?
  12. What do you enjoy most about working here?
  13. What one change would most improve your working life here?

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