QuestionPunkQuestionPunk
無料で始める
すべてのテンプレート
Healthcare & Clinical

Clinical Supervision Quality & Effectiveness Survey

Gathers clinicians' honest experience of the clinical supervision they receive — safety to disclose mistakes, usefulness of feedback, and depth of case discussion — for supervisors, training directors, or agencies auditing supervision quality. An AI follow-up interview reconstructs what happened in the most recent supervision session instead of relying on general impressions.

このテンプレートを使うほかのテンプレートを見る

設問の例

テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。

全14問・約7分
Q01
メッセージ

Thanks for taking a few minutes to reflect on your clinical supervision. Your honest answers help improve how supervision is delivered — this takes about 8 minutes and your individual responses are kept confidential.

Q02
選択式必須

In what format do you primarily receive clinical supervision?

  • One-on-one (individual)
  • Group supervision
  • Peer consultation
  • A mix of formats
Q03
選択式必須

In the last 30 days, how many supervision sessions have you attended?

  • None
  • 1
  • 2-3
  • 4-6
  • More than 6
Q04
オピニオンスケール必須

Overall, how would you rate the quality of the clinical supervision you've received in the last month?

スケール: 1 – 10
最小:Very poor最大:Excellent
Q05
マトリクス必須

How much do you agree with each statement about your current supervisor?

5行 × 5列
  • I feel safe disclosing mistakes or uncertainty without fear of judgment
  • Feedback I receive is specific enough to change how I practice
  • Sessions include enough time discussing actual client cases (not just administrative matters)
  • My supervisor helps me develop clinical skills, not just manage caseloads
  • Cultural, ethical, or diversity considerations are meaningfully addressed when relevant
列: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q06
評価スケール必須

How clear and actionable is the feedback you typically receive after a case discussion?

範囲: 1 – 5
最小:Vague, hard to apply最大:Crystal clear, immediately usable
Q07
ベスト・ワースト選択（MaxDiff）必須

Which of the following would most improve your clinical supervision, and which matters least right now?

  • More time discussing specific client cases
  • More concrete, skill-focused feedback
  • More emotional/personal support around burnout
  • More guidance on ethical or risk situations
  • More attention to cultural and diversity issues
  • More flexibility in scheduling sessions
  • Better balance between clinical and administrative topics
  • More opportunities for peer or group input
各セットで最も良いもの・最も悪いものを選択最も良い:Would improve supervision most最も悪い:Matters least right now
Q08
オピニオンスケール必須

How comfortable do you feel raising a case where you're unsure you handled something correctly?

スケール: 1 – 7
最小:Very uncomfortable最大:Completely comfortable
Q09
AIインタビュー

Reconstruct the respondent's most recent supervision session in detail: what case or issue they brought, what feedback the supervisor gave, and whether it changed how they handled the client afterward. If they rated psychological safety or feedback clarity low, probe specifically what happened that made them hesitant or what feedback felt too vague, and what they wish had been said instead.

Q10
自由回答（長文）

Is there anything about your supervision experience that the questions above didn't capture?

Q11
選択式

What is your primary clinical discipline?

  • Psychology
  • Counseling/Marriage & Family Therapy
  • Social Work
  • Nursing
  • Psychiatry
  • Other
  • Prefer not to say
Q12
選択式

How many years have you been practicing in your field?

  • Less than 1 year
  • 1-3 years
  • 4-7 years
  • 8-15 years
  • More than 15 years
  • Prefer not to say
Q13
選択式

What is your primary practice setting?

  • Community mental health
  • Private practice
  • Hospital/inpatient
  • School or university
  • Government/correctional
  • Other
  • Prefer not to say
Q14
メッセージ

Thank you for sharing your experience. Responses will be aggregated into a report used to strengthen supervision practices — no individual answers will be shared with your supervisor.

含まれる機能

  • AIによる深掘り

    自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。

  • 注意確認設問

    急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。

  • AIが作成する設問文

    文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。

  • 自動レポート

    回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。

他ツールとの比較

ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。

このテンプレートを選ぶ理由

  • Includes an AI follow-up interview that reconstructs the respondent's most recent supervision session in detail, rather than relying on generic recall questions
  • Combines structured measurement (opinion scales, a matrix on supervisor behaviors, a rating on feedback clarity, and a max-diff on improvement priorities) with open-ended reflection
  • Asks directly about psychological safety to disclose mistakes and comfort raising uncertain cases, which is central to supervision quality auditing
  • Captures discipline, experience level, and practice setting so training directors can segment results by clinician subgroup

Jotform

Clinical Supervision Form Template

This is a customizable form-builder template, more oriented toward administrative documentation of supervision sessions than a research-grade survey instrument. It offers drag-and-drop editing and integrations typical of Jotform's form suite, but it does not appear structured around measuring supervision quality or clinician disclosure comfort specifically.

優れている点

  • Easy drag-and-drop customization typical of Jotform forms
  • Can integrate with Jotform's broader form ecosystem (notifications, storage, e-signatures)
  • Quick to deploy for basic session logging

物足りない点

  • Static form fields only — no adaptive follow-up questioning to reconstruct session details
  • No mention of automated quality scoring or per-response analysis
  • No transparent AI prompt methodology since it is not an AI-driven tool

QuestionPro

Clinical Supervision Survey Questions + Sample Questionnaire Template

This page reads as a sample-questions/guide resource showcasing example clinical supervision survey items rather than a ready-to-field template with a defined flow. It's useful for question inspiration but requires manual assembly into an actual fielded survey. QuestionPro's platform supports standard survey logic, but this page doesn't indicate any adaptive interview capability.

優れている点

  • Provides sample question wording clinicians and researchers can reference
  • Backed by QuestionPro's established survey platform with standard branching logic
  • Likely covers common supervision topics for quick question-bank reuse

物足りない点

  • Presented as a question list/guide rather than a fielding-ready survey flow
  • No adaptive AI follow-up to reconstruct a specific recent session
  • No automated per-response quality scoring or auto-generated audit reports mentioned

よくあるご質問

「Clinical Supervision Quality & Effectiveness Survey」テンプレートにはどのような設問が含まれていますか？

すぐに使える設問が14問含まれており、最初の設問は次のとおりです：「Thanks for taking a few minutes to reflect on your clinical supervision. Your honest answers help improve how supervisio…」・「In what format do you primarily receive clinical supervision?」・「In the last 30 days, how many supervision sessions have you attended?」。すべての設問は上でプレビューでき、自由に編集できます。

このアンケートの回答にはどのくらい時間がかかりますか？

回答者は通常、14問を約7分で回答し終えます。

テンプレートは編集できますか？

はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。

このテンプレートは無料で使えますか？

はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。

公開の準備はできましたか？

このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。

このテンプレートを使う無料で始める

関連テンプレート

似たテーマのほかの調査もご覧ください。

すべて見る
Healthcare & Clinical

Contactless Health Screening Experience Survey

Captures how people experience contactless health screening kiosks or apps—ease of use, trust in accuracy, and privacy comfort—for clinics, workplaces, and events. An AI follow-up interview digs into the specific moment trust broke down or friction occurred, beyond a simple satisfaction score.

テンプレートを見る
Healthcare & Clinical

Clinical & Professional Supervision Quality Evaluation

Measures how well a supervisor delivers feedback, availability, psychological safety, and case guidance to the people they supervise — built for healthcare, social work, counseling, and training programs. An AI follow-up interview reconstructs a specific recent supervision moment behind the overall rating, surfacing what actually helped or hindered instead of vague satisfaction talk.

テンプレートを見る
Healthcare & Clinical

Supervisor Performance Evaluation Survey

Measures how employees experience their direct supervisor's communication, fairness, support, and recognition. Built for HR teams and people managers running upward-feedback or 360 cycles. An AI follow-up interview digs into the specific moment behind the overall effectiveness score, surfacing concrete behaviors instead of generic ratings.

テンプレートを見る
Healthcare & Clinical

Coaching Session Client Feedback Survey

Captures how clients experience individual coaching sessions — perceived progress, coach effectiveness across key behaviors, and likelihood to continue or recommend. An AI follow-up interview digs into the specific moment behind their recommendation score, surfacing what actually drove or undermined value in the session.

テンプレートを見る
Healthcare & Clinical

Employee Coaching Effectiveness Survey

Measures how often employees get coached, which manager behaviors actually land, and which coaching topics matter most to them — built for HR and people-development teams. The AI follow-up interview reconstructs a real recent coaching conversation to surface what's driving (or blocking) impact, instead of relying on generic satisfaction scores.

テンプレートを見る
Healthcare & Clinical

Healthcare Career Training & Development Impact Survey

Assesses how well career training and development programs serve clinical and clinical-support staff — what's completed, how confident staff feel applying new skills, and what's blocking follow-through. The AI follow-up interview digs into a real recent attempt to use training on the job, surfacing gaps generic satisfaction scores miss.

テンプレートを見る