Shift Handoff Preferences Survey
Help us improve our shift handoff process by sharing your preferences and feedback.
Your Full Name
*
First Name
Last Name
Department
*
Please Select
Emergency
ICU
Surgery
Pediatrics
Laboratory
Radiology
Administration
Other
Your Role
*
Please Select
Nurse
Physician
Technician
Supervisor
Other
How do you currently receive shift handoff information?
*
Face-to-face meeting
Phone call
Written report
Electronic handoff system
Other
How satisfied are you with the current shift handoff process?
*
Very dissatisfied
1
2
3
4
Very satisfied
5
1 is Very dissatisfied, 5 is Very satisfied
Please rate the following aspects of the current handoff process:
*
Rows
Clarity of information
Timeliness
Relevance of details
Opportunity for questions
Very Poor
1
2
3
4
Poor
5
6
7
8
Average
9
10
11
12
Good
13
14
15
16
Excellent
17
18
19
20
What challenges do you face during shift handoff? (Select all that apply)
Incomplete information
Time constraints
Lack of clarity
Interruptions/distractions
No standardized process
Other
What is your preferred method for receiving handoff information?
*
Face-to-face meeting
Phone call
Written report
Electronic handoff system
Other
What time of day do you prefer for shift handoff?
*
Morning
Afternoon
Evening
Night
Do you have any suggestions for improving the shift handoff process?
Any additional comments or feedback?
Submit Survey
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