• Housestaff Safety, Health & Working Conditions Survey

    This survey is organized by the Housestaff Association to better understand the current state of our working environment. Your responses will help identify patterns, safety concerns, and opportunities to advocate for improvements.

    This survey is optional and confidential No identifying information will be shared without your explicit permission.

  • Section 1: Entry Point

  • What would you like to do?

  • Section 2: Demographics (Optional)

  • Shift type (check all that apply):

  • Section 3: Physical Work Environment

  • Do you feel your current work environment is physically safe?
  • Have you experienced or witnessed any workplace violence, threats, or verbal abuse in the past 6 months?
  • Are call rooms or on-call rest spaces clean, functional, and consistently available?
  • Are you regularly able to access (check all that apply):

  • Section 4: Workload and Hours

  • On average, how many hours do you work per week?
  • Are you ever asked or expected to work beyond ACGME hour limits?
  • Do you get sufficient breaks during your shifts?
  • Has your program made schedule changes without notice or input from housestaff?

  • Section 5: Mental Health and Safety

  • Do you feel comfortable reporting concerns to leadership?
  • Have you ever been discouraged from reporting unsafe conditions or mistreatment?
  • Has your program directed you to work while sick/injured?

  • Section 6: Support & Remedies

  • Are there mechanisms to debrief after difficult cases?
  • Have you ever requested accommodations?

  • Section 7: Report Concern

    If you selected 'I want to immediately report a concern', complete this section and submit. 

  • Would you be willing to speak further with a union rep (confidentially) about your experiences?

  • This form is always open and can be filled out multiple times. If new concerns come up or your situation changes, feel free to submit another response at any time

  • Should be Empty: