Career Feedback Questionnaire

Career Questionnaire - part 1

The first step in resolving any career concern is often to articulate it clearly and then share it (in strict confidence). This form will enable you to start that process.
Briefly describe your career concerns or hopes*
How long have you been concerned about your career?*

1 month6 months1 year2 years3 years10 years+
Your profession*

DoctorDentistOther health roleNon health care
Which of these is closest to your current feelings about work*

I'd like clearer vision/ goals or more options/ diversity/ challenges in the pipelineI'd like a better work life balance or to know if there is something I’d be better suited to or could add to my work mixI am struggling a bit but I’d like to reevaluate my career path and options sooner rather than laterI am drained , exhausted and only just hanging onI have already had to stop work for health reasons
Which is closest to your current work status*

Full timePart timePortfolioNot working - can’t get through interviewsNot working for health reasonsNot working through choice
Which of the following comments ring true for your current career situation (you may tick more than one)*

I am unsure if I am in the right careerI am doing well career wise just want to do betterI am plagued by career doubtsMaking a career choice / decision is proving hardI have reached a crossroadsI am facing a career crisisMy work causes me great stressI feel trapped - stuck in a rut.I want a radical career changeI am unhappy in my workI have been failing examsI get interviews but no jobI need to plan for retirementI’m bored & need new challenges
Do you think you may have burnout? (We ask as burnout has impact on career planning. You can leave this question out but if the answer is not ‘no’ please consider asking about our Burnout Questionnaire)*

PossiblyAlmost certainlyI’ve already been diagnosedI am on sick leave with burnoutI don’t knowNo
When did you last go on a proper holiday holiday and where/ how long for? And how did you feel about returning to work? *
Tip 1
There are usually a number of things preventing a person move forwards on career dreams or find solutions to unsustainable work situations.

One of these is being too busy to think .

If you can ... begin to think about how you might allocate some regular (weekly) protected ( ie uninterrupted 'me-time') time for career planning.
Taking action - part 2

Do you need to and when?
What is the degree to which your current career concern is worrying you?*

Low - but I want to maintain focus and ensure good forward planningMild - I know I could do betterModerate - I know I need to do something sooner rather than laterSevere - things are not goodOff the scale - I am/am almost incapacitated
By when do you want to have a good motivating career plan? *

NowOne monthThree monthsSix monthsTwelve monthsTwo years+
How much time have you put to career planning related activities in the past month ( ones taking you somewhere you want to move towards) ?*

0 hours2 hours4 hours12 hoursOther
How much time are you willing or able to allocate each week to getting your career into a better place and balance*

0 hours2 hours4 hours12 hoursOther

How much do you want to make changes to your career or get a better career vision/plan*

	1	2	3	4	5

1 is Mildly/maybe- just thinking about it , 5 is Very keen to get moving

Tip 2

It is not just the allocation of time to career planning activities that is important but also the 'timing'.

There are thus times when other things just need to take priority such as:

...exams , weddings, new babies, health issues, burnout , appraisals , moving house and more.

So choosing the right moment to tackle career concerns is just as important as allocating regular time.
How can we help ? Part 3

Taking action... where to start ?
Which of the following sounds as if it would be most useful*

A structure and method to follow to explore my optionsIdeas & plans tailored to me ...for doing something newEmpowerment/feedback for gaining a clear motivating career visionTo know what I’d be most suited toA way to explore whether I have a career mismatch & what to do about thisAny way forwards from where I am now would be a reliefOther
Here are 9 things to consider that can sometimes be the first step in getting a career back on track . Please reorder the list by drag and drop so that the most attractive or doable are at the top & the least attractive at the bottom. They are currently in random order. *
Please provide us with some idea of what assistance you think would most help you to get your career to where you want it to be *
Where do you see yourself in three and ten years time? If you haven’t a clue ... that’s relevant too but dare to dream if you can.
Is there anything you would like to ask or add ?
Tip 3

Along with time allocation and timings .. timeframes are also important.

Some people are highly realistic when it comes to the timeframe for resolving career concerns. Others seem to think that things can be resolved in a ten minute phonecall or in days/ weeks when the current situation has taken many years to arise.

The truth is that tackling deep seated career concerns or planning new career goals can take months... to assess,clarify and unravel & to forge/ implement the new plans. Cultivating realistic timeframe expectations from an early stage in career planning is important so as not to lose momentum.
Your details - part 4
First Name*
Last Name*
Email ( please double check for typos as we do at times receive forms with the wrong email) *
How have you found completing this questionnaire?*

Not helpful at allA little help but unsure what to do nowSome help in clarifying thoughtsVery helpful as a start pointAn invaluable catalyst
Country or timezone*
How did you hear of Medical Forum*
If you chose social media please expand as to which one/ which group etc.
Humans have Type the number* legs and Type the number * nose (security question).
Thank you for getting to the end.

When you click send ...three things will happen
- You will receive some feedback
- Your answers to this questionnaire will be emailed to you
- You will receive updates on career planning services
Please be sure your email is a private one where only you have access and that you have entered it accurately.

We know it can feel daunting to finally share and face career concerns - especially if they have been there a while - but doing so in this form is a great first step in gaining resolution.
Should be Empty:

Career Questionnaire - part 1

Taking action - part 2

How can we help ? Part 3

Your details - part 4