11/28/2020 Internal Communication Questionnaire

Internal Communication Questionnaire

Introductory Questions
* Required

1. Job Title/Position *

Mark only one oval.

Clinical Leadership

Marketing Team

Office Support Staff (TC/OM/BC/VC)

RN/LPN/NP

Home Health Aide

Psych/Soc Team

Corporate

2. How long have you worked for this organization? *

Mark only one oval.

Less than 1 year

1-4 years

5+ years

10+ years

3. Do you agree to allow your responses to be used anonymously for the development
of a communication training/in-service? *

Mark only one oval.

Yes

No

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11/28/2020 Internal Communication Questionnaire

Please read each question carefully. Some questions will only allow one selection,
Multiple
others will allow more than one selection.
Choice
Questions

4. How would you describe communication within our organization? Please select only
one answer. *

Mark only one oval.

Very good

Mostly good

Mostly poor

Very poor

5. If you find communication to be challenging, how often does it pose a challenge for
you? Please select only one answer. *

Mark only one oval.

Daily

A few times a week

Rarely

I do not find communication to be challenging

6. How do you currently receive most information? *

You may select up to 2 answers.

Check all that apply.

Meetings (in person)

Conference calls (Stand up/Stand down)
Word of mouth
Emails
Directly from my supervisor
From Team Coordinators
Trainings
Other:

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11/28/2020 Internal Communication Questionnaire

7. What forms of communication do you find most helpful or useful? *

Please select up to 3 options.

Check all that apply.

Stand Up/Stand Down

Daily Stand Up Email
IDG meetings
Disciplinary meetings (RN, Aide, Pysch/Soc)
Conference Calls
Phone calls (directly to you)
Texting
Emails
Other:

8. What forms of communication do you find the least helpful or useful? *

Please select up to 3 options.

Check all that apply.

Stand Up/Stand Down

Daily Stand Up Email
IDG meetings
Disciplinary meetings (RN, Aide, Pysch/Soc)
Conference Calls
Phone calls (directly to you)
Texting
Emails
Other:

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11/28/2020 Internal Communication Questionnaire

9. When seeking information or an answer to a question, do you get a response in a

timely manner? *
Please select only one answer.

Mark only one oval.

Always

Almost always

Sometimes

Rarely

Never

10. To whom do you go to when you want/need the quickest response? *

Please select only one answer.

Mark only one oval.

My direct supervisor

Team Coordinator(s)

My peers/fellow field staff

Other:

11. Compared to pre-COVID-19, communication is: *

Please select only one answer.

Mark only one oval.

Much more challenging

Somewhat more challenging

The same/mostly the same

Somewhat better

Much better

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11/28/2020 Internal Communication Questionnaire

12. I trust my direct supervisor(s) to be honest/transparent with me: *

Mark only one oval.

1 2 3 4 5 6 7 8 9 10

Completely untrue Absolutely true

13. Does the quality of communication affect your level of job satisfaction? *

Mark only one oval.

Yes. When communication is good, I enjoy my job more/ when communication is poor,
I enjoy my job less.

No, communication does not factor into my level of job satisfaction at all.

14. To what degree are you satisfied with each of the following: (1= not satisfied, 5=
very satisfied)
Do not answer this question. Use this scale to answer the next 5 questions.

15. A. Your ability to find out about changes that affect your job? *

Mark only one oval.

1 2 3 4 5

16. B. Your ability to get help from co-workers on work-related problems? *

Mark only one oval.

1 2 3 4 5

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11/28/2020 Internal Communication Questionnaire

17. C. Your manager's ability to evaluate your performance? *

Mark only one oval.

1 2 3 4 5

18. D. Belonging to the office team? *

Mark only one oval.

1 2 3 4 5

19. E. Your ability to keep up with office gossip and politics? *

Mark only one oval.

1 2 3 4 5

Please provide a few brief sentences to answer each question.

Short-Answer Questions

20. Do you believe that communication is challenging only for certain individuals or for
the organization as a whole? *
Provide examples if you can.

21. If you are a member of the office team, do you feel connected to the field staff?
Does the physical distance of not working in the same place play a role in how connected you feel to the
field team? Why or why not?

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11/28/2020 Internal Communication Questionnaire

22. If you are a member of the field team, do you feel connected to the office team?
Does the physical distance of not working in the same place play a role in how connected you feel to the
office team? Why or why not?

23. What do you believe are the greatest communication challenges? *

Please be specific. You may provide more than one challenge/example.

24. If any, in what ways does the organization do well with communication? *
More than one answer is allowed here.

25. What role does gossip/rumor play? Is it more helpful or more harmful to
communication? *

26. What changes do you think could help improve communication? *

This can be specific to our team/branch or for the company as a whole.

27. Please provide any other feedback regarding our team or organization's
communication. In what ways are you satisfied/dissatisfied? *

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11/28/2020 Internal Communication Questionnaire

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