Evaluation of float experience

I am working on putting together a float evaluation form for my hospital. We are a smaller facility of around 100 inpatient beds. Due to our size, we cannot justify a separate float pool at this time and so during times of fluctuating census we occasionally float staff who would otherwise be sent home to higher census units for a shift. We recognize that floating can be a stressful experience for staff and we are looking to develop an evaluation form to provide feedback to our hospital staffing committee and unit managers regarding both how the receiving unit treated the floating staff member and how the float performed. It is our commitment that feedback on these forms will not be used in any punitive fashion.

Does anyone have any experience with these types of evaluations? I am interested in knowing what percentage of evaluations were actually completed, how the results were used (or not used) and perhaps what questions were asked.

Thanks!