Supervisor Baseline Survey Form
Please complete this survey to help us understand your background, current practices, and support needs as a supervisor at the start of this program.
Your current role or job title
*
Department or area you supervise
*
How many years have you been in a supervisory role?
*
Please Select
Less than 1 year
1-3 years
4-6 years
7-10 years
More than 10 years
How confident do you feel in your current supervisory skills?
*
Not confident
1
2
3
4
Very confident
5
1 is Not confident, 5 is Very confident
Which of the following best describes your current supervisory practices? (Select all that apply)
Regular team meetings
One-on-one check-ins
Goal setting with team members
Providing feedback
Performance reviews
Other
How do you currently address challenges or conflicts within your team?
Direct discussion with involved individuals
Team meetings
Consulting with HR or higher management
Using formal disciplinary procedures
Other
What support or resources would help you be more effective as a supervisor?
Training in leadership skills
Mentoring or peer support
Access to management tools
Clearer policies and procedures
More time for supervisory duties
Other
How ready do you feel to participate in this program or initiative?
*
Not ready
1
2
3
4
Very ready
5
1 is Not ready, 5 is Very ready
Please rate your agreement with the following statements about your supervisory role.
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I feel supported in my supervisory role
1
2
3
4
5
I have access to the resources I need
6
7
8
9
10
I am clear about my responsibilities
11
12
13
14
15
Any additional comments or information you would like to share?
Submit
Should be Empty: