Team Based Care - Staff Survey

Introduction:

This survey measures how people in your practice work together and how leadership supports a collaborative and inclusive work environment, as part of your organization's participation in the Advancing Team Based Care program.

The completion of the survey typically takes around 10 to 15 minutes.

Responses will be summarized and shared with the practice in aggregate form. Individual answers will be kept anonymous. If there is a comment that you enter and you prefer we do not include it in the summary, please indicate that.

Thank you for your time!

(Please check all that apply)

Organization Compensation-Related Questions

Please tell us how much you agree or disagree with each statement.
Please rank the items below, with 1- highest interest and 6- least interest.
Rank → Benefit
1 →
1
2 →
2
3 →
3
4 →
4
5 →
5

These are benefits currently offered by High Plains. Please provide feedback below on: whether you utilize the benefit; and whether changes to the benefit would bring more value to the benefit.

Benefit Currently Use? Comment
Life Insurance
Medical Insurance including mental health benefits
Dental Insurance
Voluntary benefits: Accidental Death & Dismemberment (AD&D), Short-Term Disability
Retirement Plan
Changes to PTO (Paid Time Off)
Changes to Holidays
Flexible Spending Account (FSA)
Health Savings Account (HSA)
Employee Assistance Program (EAP)
Please tell us how much you agree or disagree with each statement.

Wellness and Burnout

Final Thoughts… Please take as much space as you need to answer this final question.