Care Home Staff Satisfaction Survey Template

Retirement home employee satisfaction survey with 6 questions covering job satisfaction, teamwork, and management.

This is a ready-made survey template you can use two ways. Print it on paper and hand it out, then scan the completed forms and PaperSurvey reads the answers for you automatically, no manual typing. Or share the very same template as an online web survey. The preview below shows the printable paper version.

Use this template

Copy this template into your account, then customize it to suit your needs.

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 runs to 6 questions across roughly two pages, so it stays quick to complete during a shift change.

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. A short closing question captures how long each person has worked at the home so you can compare responses by tenure.

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

Every PaperSurvey template is a hybrid survey: run it on paper and scan the forms, share it online as a web survey, or do both at once and collect all the responses in one place. to see how it looks online, or open it in a new tab. It is a live preview only, so nothing you enter is saved.

Questions in this template

  1. Job Satisfaction
  2. Team and Communication
  3. Scheduling and Staffing
  4. Training
  5. Management
  6. How likely are you to recommend working here to a friend or colleague?
  7. How long have you worked in this retirement home?
  8. Which best describes your role?
  9. Which shift do you most often work?
  10. How satisfied are you with your job overall?
  11. What do you enjoy most about working here?
  12. What one change would most improve your working life here?

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