Confidence Questionnaire

Confidence Questionnaire

This questionnaire is designed to assess your confidence in safely mobilizing hospitalized patients. Your responses will help identify strengths, educational needs and opportunities to support staff in promoting safe patient mobility.

Please indicate the extent to which you agree or disagree with each statement based on your current knowledge, training and experience. There are no right or wrong answers. We encourage you to answer honestly, as your feedback will be used to guide future training and performance improvement initiatives.

Select one response for each statement before submitting the survey. Thank you for your participation.

Confidence Questionnaire

Name
1. I can safely assess whether a patient is appropriate for mobilization(Required)
2. I feel adequately trained to mobilize hospitalized patients(Required)
3. I am confident in mobilizing patients who require one-person assistance(Required)
4. I am confident in mobilizing patients who require two-person assistance(Required)
5. I understand how to protect myself from injury while mobilizing patients(Required)
Last updated: June 25, 2026