CRNA Organizational Climate Survey
Thank you for participating in the Expercis CRNA Organizational Climate Survey. Organizational climate refers to what it is like to work at your job. This survey is intended to provide CRNAs with ratings from current employees for job postings. Providing this information provides valuable information to potential applicants about the pros and cons of where you currently work. Transparency about organizational climate ensures applicants accepting jobs are better prepared for the work culture and practice, and increases the potential for long term retention. Rest assured that your information will not be used for anything other than the above stated purposes and will remain confidential. 
Email *
First name *
Last name *
Phone number (optional)
Receive pediatric anesthesia job alerts via email? *
How many years have you been in practice? *
Where is your primary place of employment (organization name)? *
In which state are you employed? *
How many years have you been employed at your current job? *
What type of employee are you (select all that apply)? *
Required
By whom are you employed? *
What type of anesthesia providers work at your job (select all that apply)? *
How many anesthesia providers are employed or work at your primary place of employment (number of CRNAs, MDAs, AAs, as applicable)? *
If you work with anesthesiologists, what type of model is it? *
If you work in an ACT model, what is the MDA to CRNA ratio (or how many CRNAs is the MDA supervising or directing)? *
Which of the following skills do you perform at your primary place of employment (select all that apply)? *
Required
Does your scope of practice allow you to perform the following (select all that apply): *
Required
Describe case types where CRNAs do not participate, or that are MDA only (enter NA if not applicable). *
How would you describe the overall relationship between CRNAs in your department (select all that apply)? *
Required
How would you rate the overall vibe between CRNAs in your department (select 3 for not applicable)? *
The worst
The best
How would you describe the overall relationship between CRNAs and MDAs in your department (select all that apply)? *
Required
How would you rate the overall vibe between CRNAs and MDAs in your department  (select 3 for not applicable)? *
The worst
The best
How would you describe the overall relationship between CRNAs and RNs in your department (select all that apply)? *
Required
How would you rate the overall vibe between CRNAs and circulators in your department  (select 3 for not applicable)? *
The worst
The best
How would you rate the overall vibe between CRNAs and PACU RNs in your department (select 3 for not applicable)? *
The worst
The best
How would you describe the overall relationship between CRNAs and AAs in your department (select all that apply)? *
Required
How would you rate the overall vibe between CRNAs and AAs in your department (select 3 for not applicable)? *
The worst
The best
How would you describe the overall relationship between CRNAs and surgeons/proceduralists at your place of employment (select all that apply)? *
Required
How would you rate the overall vibe between CRNAs and surgeons/proceduralists at your place of employment (select 3 for not applicable)? *
The worst
The best
How would you describe the overall relationship between CRNAs and CRNA leadership in your department (select all that apply)? *
Required
How would you rate the overall vibe between CRNAs and CRNA leadership in your department (select 3 for not applicable)? *
The worst
The best
How would you describe the overall relationship between CRNAs and anesthesiologist leadership in your department (select all that apply)? *
Required
How would you rate the overall vibe between CRNAs and anesthesiologist leadership in your department (select 3 for not applicable)? *
The worst
The best
Would you describe the overall relationship between CRNAs and hospital administration at your current job (select all that apply)? *
Required
How would you rate the overall vibe between CRNAs and hospital administration (select 3 for not applicable)? *
The worst
The best
How would you describe the overall relationship between CRNAs and anesthesia group or agency administration (select all that apply)? *
Required
How would you rate the overall vibe between CRNAs and anesthesia group/agency administration (select 3 for not applicable)? *
The worst
The best
How would you rate the overall vibe between CRNAs and anesthesia residents (medical, CRNA, AA) in your department (select 3 for not applicable)? *
The worst
The best
I feel respected as a professional at my primary job?
Strongly disagree
Strongly agree
Clear selection
How would you rate your ability to get time off (select 3 for not applicable) *
The worst
The best
How would you rate your schedule's fit for your home/personal lift needs (select 3 for not applicable) *
The worst
The best
How easy would it be to change your work schedule should you need to (select 3 for not applicable)? *
Impossible
Super easy
How would you rate ability to find shift coverage if needed (select 3 for not applicable)?
The best
The worst
Clear selection
How would you rate the staffing levels in the CRNA department (select 3 for not applicable)? *
Crazy short staffed
Fully staffed
I am satisfied with my scope of practice at my primary job.
Strongly Disagree
Strongly Agree
Clear selection
I am satisfied with the level of practice autonomy at my primary job.
Strongly Disagree
Strongly Agree
Clear selection
Are you satisfied with your job? *
Are you experiencing burnout in your job? *
Are you considering quitting your primary job within the next year? *
If you are considering quitting your job within the next year, what are the factors that are influencing your decision (select all that apply)? *
Required
Is there anything else you would like us to know about in terms of what it is like to work at your job?
May we use your responses for research purposes (no personal or identifying information will be used, only organizational climate responses)? *
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