CNMC UCA SURVEY

Staff Needs Assessment Survey


Please select the appropriate demographics.

Click Reset to clear form:

NAME (Last, First, Middle) - OPTIONAL:

D1 - RACE Select ONLY ONE item:
White
Black/African American
Hispanic/Latino
API/Asian Pacific Islander
NAA/Native American or Alaskan Native
O/Other multi-racial designations

D2 - Gender:
Male
Female

D3 - AGE (years old range):
18 - 30
31 - 44
45 - 61
62+

D4 - TENURE:
0 - 5
6 - 10
11 - 15
16+

D5 - SHIFT:
Day
Evening
Night

D6 - EDUCATIONAL LEVEL:
HS, Associate or Equivalent:
Undergraduate, Graduate, Certificate, License:


I want Individual Feedback - Name or Individual Identifier:



Complete all survey items by "clicking" the appropriate number following each item.
Provide narrative on any item
.

Please notice that the selection "button" follows the appropriate number response.


The response scale ranges from zero to nine (012 3456 789). "Click" on a single number to respond - a zero if you totally DISAGREE with the statement, a nine if you totally AGREE with the statement, or any number between that reflects your response level. You have an option to "click" NO Response/Don't Know if you do not have a response. Please think carefully and use this option sparingly.


1. I understand how to ask for feedback from credible coworkers that enable me to constantly improve.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


2. I understand how to manage my own skill development.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 -- 6 - 7 - 8 - 9 AGREE

No Response

Comments:


3. I know how to deal effectively with the emotional and sensitive needs of others.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


4. My manager enthusiastically supports me in acquiring new skills that improve job performance.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


5. This staff development initiative was presented effectively.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


6. I know how to use the IT technology and equipment that is assigned to me to meet job requirements.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


7. I know that I do my job better with standardized UCA job duties.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


8. I understand how my job fits with other jobs to achieve our combined goals.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


9. I know job priorities from day to day.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


10. I have sufficient information to perform the UCA duties on each unit where I float.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


11. I know that I was properly oriented to my job duties on my unit.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


12. I know the status of my skill development.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response
Comments:


13. I know how to get the answers to questions from written material concerning my job requirements.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


14. Written guidance is readily available to assist me in understanding how to do my job.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


15. I get information that helps me make a positive contribution to the CNMC goals.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


16. I am respected and valued on my unit.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


17. I have the interpersonal skills to be effective in coworker relationships on my team.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


18. My manager shares information with me about the future of the organization.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


19. I have the tools and resources I need to do my job effectively.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


20. I am encouraged to increase my skills through training.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


21. My input is sought by others.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


22. I know my input is welcomed and valued by others.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


23. I am comfortable with current changes in my workplace.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


24. I know what skills are needed for career advancement.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


25. I know how to ask for assistance when I need it.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


26. I can be an effective coach or mentor to a new UCA.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


27. I understand the HR (personnel) policies that apply to my job and employment at CNMC.

DISAGREE 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 AGREE

No Response

Comments:


28. I have the skills to interact with customers to achieve improved performance.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response
Comments:


29. I plan to be in my position for the next 3-5 years.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


30. I feel that I can express my opinion without fear of negative consequences.

DISAGREE 0 - 1 - 2 -- 3 - 4 - 5 - 6 -- 7 - 8 - 9 AGREE

No Response

Comments:


Additional Comments

31. What type of professional development do you want or need?




32. Are you involved with any council or committee in the CNMC?
And if yes, how do you share necessary information? (Explain):



33. If I could suggest three (3) improvements for UCA, they would be:




Thank you for completing this important survey!

By submitting this response I certify that this is the only submission of this survey.

You will receive a receipt for this submission. We suggest you keep a copy for your records.

When you have finished, "click" .