Q01
Message
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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.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
12 questions · ~7 min
Q02
Multiple ChoiceRequired
In the last month, how often did you have a scheduled one-on-one supervision session?
- Never
- Once
- 2-3 times
- Weekly or more often
- Supervision is on-demand, not scheduled
Q03
MatrixRequired
Thinking about your supervisor over the last 3 months, how often did they do each of the following?
6 rows × 5 columns
- Gave clear, actionable feedback on my work
- Was available when I needed timely support
- Helped me apply policies or protocols correctly to real cases
- Encouraged me to reflect on my own reasoning rather than just handing me the answer
- Created a safe space to discuss mistakes without fear of blame
- +1 more
Columns: Never · Rarely · Sometimes · Often · Always
Q04
Opinion ScaleRequired
How comfortable do you feel raising a mistake or concern with your supervisor?
Scale: 1 – 7
Min:Not at all comfortableMax:Extremely comfortable
Q05
Rating ScaleRequired
Overall, how would you rate the quality of supervision you've received in the last 3 months?
Range: 1 – 5
Min:PoorMax:Excellent
Q06
Multiple Choice
Which format best describes most of your supervision sessions?
- One-on-one, in person
- One-on-one, video or phone call
- Group supervision session
- Informal or ad hoc check-ins
- A mix of formats
Q07
Best–Worst Trade-off (MaxDiff)Required
Which of these matter most to your growth as a professional, and which matter least, when it comes to what your supervisor provides?
- Clinical or technical guidance on cases
- Emotional support and encouragement
- Career development advice
- Timely feedback on my work
- Availability and responsiveness
- Constructive handling of mistakes
- Help prioritizing my caseload or workload
Pick best & worst per setBest:Matters mostWorst:Matters least
Q08
AI InterviewRequired
Anchor on the respondent's overall quality rating and ask them to walk through one specific, recent supervision interaction that best explains that score — what the situation was, what the supervisor did or said, and what the outcome was. Probe for a concrete example rather than a general impression, and if the rating was very low or very high, ask directly what would need to change (or what should never change) for next time.
Q09
Long Text
What's one thing your supervisor could start, stop, or continue doing to better support you?
Q10
Multiple Choice
Which best describes your current role or level?
- Trainee or student
- Entry-level staff
- Mid-level staff
- Senior staff
- Prefer not to say
Q11
Multiple Choice
How long have you been supervised by your current supervisor?
- Less than 3 months
- 3-11 months
- 1-2 years
- More than 2 years
- Prefer not to say
Q12
Message
That's everything — thank you for your candor. Your responses will be combined with others to help strengthen how supervision is delivered across the team.
What’s included
AI follow-ups
Adaptive probes on open-ended answers that pull out detail a static form would miss.
Attention checks
Built-in safeguards against rushed answers and low-quality respondents.
AI-drafted copy
Wording, ordering, and branching written by the AI — tuned to your research goal.
Auto report
Themes, quotes, and a plain-English summary write themselves once responses come in.
How it compares
We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.
Why this template
- Anchors the AI follow-up interview on the respondent's own overall rating, prompting them to reconstruct one specific recent supervision moment rather than answer in the abstract
- Combines structured measurement (matrix of supervisor behaviors over 3 months, opinion scale on psychological safety, max-diff on what matters most to growth) with open-ended probing for context
- Captures format and tenure context (session frequency, format, time under current supervisor) so results can be segmented by role and relationship length
- Ends with a directed long-text prompt on what the supervisor should start/stop/continue, giving actionable, specific feedback instead of generic satisfaction scores
QuestionPro
Supervisor Evaluation Survey Questions for Feedback + Sample Questionnaire TemplateThis is a supervisor evaluation questionnaire template paired with editorial guidance on writing supervision feedback questions, making it a reasonable direct comparable for this topic. It reads as a static question bank rather than a platform with adaptive follow-up capability. Reporting appears to rely on QuestionPro's standard survey analytics rather than any interview-style reconstruction of specific incidents.
What it does well
- Purpose-built questionnaire specifically for supervisor/supervision feedback
- Includes sample questions and guidance on structuring a supervision evaluation survey
- Backed by an established survey platform with broad question-type and distribution support
Where it falls short
- No adaptive AI follow-up interview to probe the reasoning behind a rating or reconstruct a specific supervision moment
- No voice AI interview or guided screen-share task option
- No indication of automated per-response quality scoring or transparent, published prompt methodology
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.