Employee survey template
Clinic team: workload and organisation
A ready-to-use employee survey template with 11 questions already written and tested. Open it, brand it as your own and launch in minutes. Free to start, no card required.
Internal surveys take the team's pulse: climate, engagement, workload and trust in leadership. They work best anonymous and recurring, so you see the trend and not just a snapshot. Ask few, actionable questions: every question should be able to trigger a concrete decision.
What respondents see
Internal questionnaire for the reception, nursing and clinical staff of a private clinic: workload, scheduling, tools and systems, internal communication, training and intention to stay. About 4 minutes.
What this template asks
- Yes / NoAre you currently part of the clinic's team?
- Yes
- No
- Single choiceWhich area do you mainly work in?
- Reception and patient care
- Nursing
- Clinical practice (medicine, dentistry, physiotherapy or another specialty)
- Assistant or technician
- Administration, billing or insurance
- Coordination or management
- Cleaning, sterilisation or maintenance
- Several areas at once
- Other
- ScaleIn a normal week, how would you describe your workload?
Very light 1–5 Unmanageable
- Single choiceDoes the time the schedule allows for each appointment match the time you actually need?
- It almost always matches
- It often matches, with exceptions
- It only sometimes matches
- It almost never matches
- I do not work with an appointment schedule
- Multiple choiceWhat makes a normal working day harder than it needs to be? Choose up to three.
- Appointments too close together or too short
- Delays that build up through the day
- Emergencies or walk-in patients
- Not enough staff on some shifts
- The practice management software or the medical records
- Missing or faulty supplies and equipment
- Incomplete information when a patient moves from reception to the consulting room
- Constant calls and interruptions
- Administrative tasks outside my role
- Unclear instructions or priorities
- None of these: the day usually runs well
- MatrixHow do you rate these tools and resources for doing your job?
- Practice management software and medical records
- Scheduling system and appointment reminders
- Phone, switchboard and contact channels
- Clinical equipment
- Consumables and restocking
- Rooms and working spaces
- Very poor
- Poor
- Acceptable
- Good
- Very good
- I do not use it
- ScaleThe information needed flows in time between reception and the consulting rooms.
Strongly disagree 1–5 Strongly agree
- Yes / NoIn the last 12 months, have you received training that was useful for your role?
- Yes
- No
- Single choiceWhich training would be most useful to you right now?
- Using the practice management software and the medical records
- Clinical protocols and patient safety
- Communicating with patients
- Handling complaints and difficult situations
- Billing, insurance and administrative tasks
- Emergencies and first aid
- Data protection and confidentiality
- Other
- I don't know
- Single choiceThinking about the next 12 months, how do you see your continuity at the clinic?
- I expect to stay
- I will probably stay
- I don't know
- I will probably look elsewhere
- I plan to leave
- I prefer not to answer
- Open textIf you could change just one thing about how work is organised at the clinic, what would it be?
Frequently asked questions
- What is a employee survey template?
- It is a pre-built employee survey questionnaire with 11 ready-to-send questions. Use it as-is or adapt it to your case in Camaleonic Survey's visual editor.
- Is it free?
- Yes. You can create an account and use this template for free, no card required. Paid plans add advanced analytics, live results and more.
- Can I customize it?
- Completely. Change questions, logic, typography and color so the survey looks like your brand, not a generic form.