Dispo
™
Baseline Survey
Week 0 — before you start using Dispo
This 5-minute survey is anonymous. Please answer honestly — there are no right answers, and nothing here is tied to your name. The same survey runs again at the end of the pilot so we can see what changed.
Leave blank:
1.
About you
Discipline
Discharge planning
ED case management
Care coordination
Utilization review
Years in case management
Under 1
1–3
4–7
8+
Unit or team
(optional)
2.
Visibility of your work
(1 = strongly disagree, 5 = strongly agree)
The work I do each day is visible to leadership.
1
2
3
4
5
Strongly disagree
Strongly agree
I have an easy way to record the work I do.
1
2
3
4
5
Strongly disagree
Strongly agree
The complexity of my caseload is understood by leadership.
1
2
3
4
5
Strongly disagree
Strongly agree
The effort behind a difficult case gets noticed.
1
2
3
4
5
Strongly disagree
Strongly agree
3.
Wellbeing
(1 = strongly disagree, 5 = strongly agree)
Right now, my caseload feels manageable.
1
2
3
4
5
Strongly disagree
Strongly agree
At the end of most shifts, I have something left in the tank.
1
2
3
4
5
Strongly disagree
Strongly agree
There is a clear low point in my week when strain peaks.
1
2
3
4
5
Strongly disagree
Strongly agree
Overall, this week, my work wellbeing is:
1
2
3
4
5
Running on empty
Doing well
4.
Recognition
(1 = strongly disagree, 5 = strongly agree)
I feel recognized for the work I do.
1
2
3
4
5
Strongly disagree
Strongly agree
Good case-management work gets acknowledged on my team.
1
2
3
4
5
Strongly disagree
Strongly agree
5.
Before we start
What would make this pilot worth your time?
Any concerns about using Dispo? (privacy, time, anything)
Any other feedback or recommendations?
Submit my responses
Thank you. Your answers set the baseline we’ll measure against at the end.