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Nurse Satisfaction Survey Form Template

Enhance Your Workplace by Understanding Nurse Needs

Your nurses play a crucial role in healthcare, and understanding their job satisfaction can be challenging. This Nurse Satisfaction Survey Form Template is designed to help you gather valuable feedback from your nursing staff. With this template, you can pinpoint areas of improvement, foster a supportive environment, and ultimately enhance patient care. Easily customize questions to fit your institution's needs, analyze responses for actionable insights, and boost morale in your team. Explore how this template can help you create a better workplace for everyone.

What is your current role?
Registered Nurse (RN)
Licensed Practical/Vocational Nurse (LPN/LVN)
Nurse Practitioner (NP)
Clinical Nurse Specialist (CNS)
Nurse Manager/Charge Nurse
Nursing Assistant/Patient Care Technician
Student/Graduate Nurse
Prefer not to say
Other
Please Specify:
Primary unit or department
How long have you worked in nursing?
Less than 1 year
1-2 years
3-5 years
6-10 years
11-15 years
16+ years
Prefer not to say
What is your current employment status?
Full-time
Part-time
Per diem/PRN
Travel/Agency
Temporary/Contract
Prefer not to say
Other
Please Specify:
My unit has enough staff to provide safe, high-quality care.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
The workload I am assigned is manageable.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I have the equipment and supplies I need to do my job.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I have adequate time for breaks during my shift.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Team members on my unit respect and support each other.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Communication within my unit is effective.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
My manager provides clear direction and feedback.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I receive recognition for good work.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
How satisfied are you with opportunities for learning and professional development?
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
How satisfied are you with your pay and benefits?
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
I am able to maintain a healthy work-life balance.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
In the past 3 months, how often have you felt burned out from your work?
Very rarely
Rarely
Sometimes
Often
Very often
I feel safe at work.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I feel comfortable speaking up about patient safety concerns.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Overall, how satisfied are you with your job here?
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
How likely are you to recommend this organization as a place to work to other nurses?
0 Not at all likely
1
2
3
4
5 Extremely likely
Do you see yourself working here in 12 months?
Yes
No
Unsure
What is one thing we should keep doing?
What is one thing we should improve?
If you would like to discuss your feedback, share your email (optional).
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Paper art illustration depicting a nurse satisfaction survey form with elements reflecting healthcare and feedback.

When to use this form

Use this survey when you need a clear view of morale, workload, and support on your unit. It is most helpful after schedule changes, new leadership, or a policy rollout, and during quarterly check-ins. Nurse managers, HR, and quality teams get quick, comparable data to guide staffing, training, and retention plans. To tie feedback to demand, pair your results with the Patient intake form or Medical information form your clinic already uses. You can also review trends against the Patient information form to spot bottlenecks in registration or handoffs. The outcome: faster fixes, lower burnout risk, and a safer, more stable care environment.

Must Ask Nurse Satisfaction Survey Questions

  1. On a scale of 1-10, how satisfied are you with staffing levels on your unit?

    A clear rating quantifies workload pressure and highlights units at risk for burnout. Trend it over time to see if scheduling changes improve conditions.

  2. Do you have the resources and equipment you need to deliver safe care?

    This pinpoints gaps in supplies, EHR access, and maintenance that slow care. Answers guide targeted fixes that raise safety and efficiency.

  3. How effective is communication with your manager and clinical leadership?

    Communication quality predicts engagement and retention. Responses show where to adjust huddles, handoff standards, or leadership rounding.

  4. How often do you miss breaks or work beyond scheduled hours?

    Breaks and overtime are early signs of unsafe staffing. Tracking frequency helps you justify staffing adjustments and policy changes.

  5. What one change would most improve your day-to-day work?

    An open-ended prompt surfaces practical, high-impact ideas from the front line. It also gives you language to include in action plans and leadership updates.

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