Q01
Message
All templatesHealthcare & Clinical
Nurse Job Satisfaction & Retention Survey
Measures nurse satisfaction across workload, staffing, pay, management support, and career growth, plus burnout frequency and intent to leave. Built for hospital and health-system nursing leadership; the AI follow-up interview digs into the specific shift, policy, or interaction behind a nurse's lowest-rated aspect instead of settling for a generic complaint.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
13 questions · ~7 min
Q02
Multiple ChoiceRequired
Which best describes your primary care setting or unit?
- Medical-Surgical
- Emergency Department
- ICU/Critical Care
- Operating Room/Perioperative
- Labor & Delivery/NICU
- Behavioral Health
- Long-Term Care/Rehab
- Outpatient/Clinic
- Other
Q03
Opinion ScaleRequired
Overall, how satisfied are you with your job right now?
Scale: 1 – 10
Min:Very dissatisfiedMax:Very satisfied
Q04
MatrixRequired
How satisfied are you with each of the following?
6 rows × 5 columns
- Staffing levels
- Patient workload/ratios
- Support from management
- Pay and benefits
- Opportunities for advancement
- +1 more
Columns: Very dissatisfied · Dissatisfied · Neutral · Satisfied · Very satisfied
Q05
Opinion ScaleRequired
How likely are you to recommend this workplace to another nurse looking for a job?
Scale: 0 – 10
Min:Not at all likelyMax:Extremely likely
Q06
Multiple ChoiceRequired
In the last 30 days, how often have you felt emotionally or physically burned out at work?
- Never
- Rarely (1-2 times)
- Sometimes (a few times a week)
- Often (most shifts)
- Almost every shift
Q07
Best–Worst Trade-off (MaxDiff)Required
Which of these changes would most improve your day-to-day satisfaction at work?
- Improved staffing ratios
- Higher pay or better benefits
- More predictable or flexible scheduling
- Stronger support from management
- Clearer paths for career advancement
- Better mental health and wellbeing resources
- More recognition for good work
- Reduced administrative/documentation burden
Pick best & worst per setBest:Would improve my satisfaction the mostWorst:Would improve my satisfaction the least
Q08
Multiple ChoiceRequired
In the last 6 months, have you seriously considered leaving your current job?
- Yes, actively looking
- Yes, thought about it but not looking
- No
- Not sure
Q09
AI Interview
Explore the specific incident or pattern behind the respondent's lowest-rated workplace aspect and their answer about considering leaving. Ask for a concrete recent example — a shift, a policy change, an interaction with management — rather than a general complaint, and probe what would need to change for them to stay long-term. If they rated everything highly and aren't considering leaving, ask what specifically has kept them satisfied and whether that experience is typical across their unit.
Q10
Multiple Choice
How many years have you worked as a nurse?
- Less than 1 year
- 1-3 years
- 4-9 years
- 10-19 years
- 20+ years
- Prefer not to say
Q11
Multiple Choice
What is your current employment status?
- Full-time
- Part-time
- PRN/Per diem
- Travel/Agency
- Prefer not to say
Q12
Multiple Choice
Which age range do you fall into?
- Under 25
- 25-34
- 35-44
- 45-54
- 55-64
- 65 or older
- Prefer not to say
Q13
Message
Thank you for your honesty and your time. Your responses will be combined with those of your colleagues to shape staffing, scheduling, and support decisions — no individual answers will be shared with your direct manager.
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
- Goes beyond a single overall satisfaction score with a matrix covering workload, staffing, pay, management support, and career growth, plus separate burnout-frequency and intent-to-leave questions.
- The AI follow-up interview automatically explores the specific incident, shift, or policy behind each respondent's lowest-rated aspect instead of stopping at a generic complaint.
- Uses a max-diff exercise to force-rank which changes would most improve day-to-day satisfaction, giving leadership a prioritized action list rather than a flat list of averages.
- Captures tenure, employment status, and unit type alongside satisfaction data, then rolls everything into an auto-generated report — with transparent prompts showing exactly what the AI asked and why.
Jotform
Nurse Satisfaction Survey Form TemplateA ready-to-use, nurse-specific satisfaction form built on Jotform's drag-and-drop form builder. It's a fielding-ready static template with standard question types, suited for quick deployment but not deep qualitative probing.
What it does well
- Purpose-built for nurse satisfaction, not a generic HR template
- Easy to customize and embed via Jotform's form builder
- Likely usable on a free tier for small-scale fielding
Where it falls short
- Static question set with no adaptive follow-up when a nurse flags a specific problem area
- No automated per-response quality scoring to flag rushed or low-effort answers
- No transparent methodology for how deeper reasons behind low ratings are uncovered — because it doesn't uncover them
Typeform
Nurse Satisfaction Survey FormA conversational, one-question-at-a-time nurse satisfaction template that leans on Typeform's polished UI to improve completion rates. It's a fixed-script form rather than an interview, so every respondent sees the same fixed set of prompts regardless of their answers.
What it does well
- Clean, conversational interface that can boost response completion
- Nurse-specific starting template rather than a generic survey
- Simple to customize question wording and branding
Where it falls short
- No AI-driven follow-up to dig into the specific shift or incident behind a low rating
- No built-in voice interview option for capturing richer verbal detail
- No automated quality scoring or auto-generated analysis report
SurveyMonkey
Employee Satisfaction Survey TemplateA general employee satisfaction template, not built specifically for nursing or healthcare shift work — leadership would need to substantially edit it to cover unit type, shift patterns, or clinical burnout language. It's a fielding-ready static survey on a widely used platform.
What it does well
- Backed by a mature, widely used survey platform with broad distribution options
- Generic employee satisfaction structure can be adapted to many industries
- Established benchmarking and reporting features for standard survey metrics
Where it falls short
- Not tailored to nursing-specific concerns like staffing ratios, shift burnout, or unit type
- Static question flow with no adaptive AI follow-up on a nurse's lowest-rated aspect
- No option for voice-based interviews or guided screen-share tasks
Ready to launch?
Open this template in the editor. Every part is yours to change before the first respondent sees it.
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