Employee Interview Questionnaire

January 5, 2018

Here’s an example of a form that a practice might use to gather ideas from employees of ways to improve it’s internal processes. ¬†Download form here.


Please complete the following three questions. The practice wants your input on how to improve its internal processes. Please make copies of this page if you need more spaces for your comments. After completion, please fax it to ________________ at _____________ or place the questionnaire in the stamped envelope provided. Please complete as soon as possible and many thanks for your time and input.

What do you think works well in your department and in the office?

What do you think needs improvement?

What are ways to improve?

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