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Hello:


You are invited to participate in our employee exit interview.
Your survey responses will be strictly confidential and data from this survey will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you can contact [HR_CONTACT_NAME] at [HR_CONTACT_PHONE] or by email (the email address given below).


Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.



 
 
 
What are your reasons for joining [COMPANY_NAME]? (Check all that apply)
 
Unemployed and needed a job
 
Referred by a friend
 
Fringe benefits
 
[COMPANY_NAME] reputation as a good place to work
 
Career advancement
 
Advertisement
 
Salary advancement
 
Other
 

 
 
 
Please select the department in which you work (not your primary work function).
 
 
 
What are your reasons for leaving [COMPANY_NAME]? (Check all that apply)
 
Higher Pay
 
Benefits
 
Better job opportunity
 
Commute
 
Conflict with other employees
 
Conflict with managers
 
Family and personal reasons
 
Relocation/Move
 
Career Change
 
Company Instability
 
Other
 

 
 
 
The next part of the Interview is divided into 5 sections: -




  1. Details about The Job

  2. Your Supervisor and you

  3. The Department that you worked in

  4. The Management and its attitude towards you

  5. Compensation and Benefits that you received





Each of the sections will have a 5 point scale : -


1 - Strongly Disagree with the statement

2 - Agree

3 - Neutral

4 - Disagree

5 - Strongly Agree with the statement





Please choose one of the above for each of the items displayed.
 
 
The Job Itself



1
Strongly Disagree
2
Disagree
3
Neutral
4
Agree
5
Strongly Agree
Job was challenging
Skills were effectively used
Job orientation was effective
Work load was reasonable
Sufficient resources were available
Work environment was safe, comfortable and appropriately equipped
 
 
 
 
   
 
 
My Supervisor



1
Strongly Disagree
2
Disagree
3
Neutral
4
Agree
5
Strongly Agree
Had knowledge of the job
Had knowledge of supervision
Was open to suggestions
Recognized employees contribution
 
 
 
 
   
 
 
The Department



1
Strongly Disagree
2
Disagree
3
Neutral
4
Agree
5
Strongly Agree
Had good synergy
Had adequate equipment
Was adequately staffed
Was efficient
 
 
 
 
   
 
 
The Management



1
Strongly Disagree
2
Disagree
3
Neutral
4
Agree
5
Strongly Agree
Gave fair and equal treatment
Was available to discuss job related issues
Welcomed suggestions and encouraged feedback
Maintained consistent policies and practices
Provided recognition for achievements
Encouraged cooperation/collegiality
Provided development opportunities
 
 
 
 
   
 
 
Compensation and Benefits


Please Rank the Following : -


1 - Very Dissatisfied

2 - Dissatisfied

3 - Neutral

4 - Satisfied

5 - Very Satisfied


1
Very Dissatisfied
2 3 4 5
Very Satisfied
Medical insurance package
Dental coverage
Prescription drug coverage
Vision coverage
401(k) savings plan
Retirement program
Paid time off
Job market competitiveness of my salary
Stock option plan
Company credit union
 
 
 
 
   
 
 
 
Thank You for you input.



It is the [COMPANY_NAME] policy to consider employee survey responses as confidential and data will only be reported in aggregate form.
 
 
Tell us how well the following statements apply to your immediate boss/superior.
Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree
My supervisor is knowledgeable about my work
My supervisor takes time to listen to me
My supervisor gives me fair reviews
My supervisor has reasonable expectations of my work
My supervisor is willing to promote me
My supervisor trains me in whenever necessary
My supervisor makes sure I have sufficient training
 
 
 
Overall, how satisfied are you with the company you work for?
 
Extremely Dissatisfied
 
Very Dissatisfied
 
Neither Satisfied nor Dissatisfied
 
Very Satisfied
 
Extremely Satisfied
 
 
Please rate your satisfaction with employee benefits and policies of your organization.
Not At All Satisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied
Accuracy of job description
Salary reviews
Adequate information on promotion is provided
Leaves of absence
Health care benefits
Retirement benefits
Listening to the employee in employer/employee disputes
 
 
 
How well do you believe your manager lives by your company's ethic?
 
Extremely well
 
Very well
 
Sometimes does, sometimes doesn't
 
Not very well
 
Doesn't abide by own philosophy at all
 
 
 
What does your boss/supervisor do to keep your moral high?
   
 
 
 
What suggestions do you have for your boss/supervisor that would help him/her be a more effective manager?
   
 
 
 
If you have ever offered suggestions to management, how satisfied were you with the response?
 
Never offered a suggestion
 
Not at all satisfied
 
Not very satisfied
 
Somewhat satisfied
 
Very satisfied
 
 
 
What suggestions would you make to improve company/employee relations?
   
 
 
 
How long have you been working for the company?
 
Less than a year
 
1-2 years
 
3-5 years
 
6-10 years
 
More than 10 years
 
 
 
What is your job function?
 
Non-supervisory Staff
 
Supervisor
 
Functional Manager
 
Department Manager
 
Senior Management/Director/Vice President
 
Senior Executive/Chief Officer/Executive Vice President
 
 
 
Thank you for your opinions. We really want to make [company name] a great place to work! If you would like to add your name and contact data below for us to follow-up with you on your answers, please do so. This is entirely optional.
 
Please contact [email protected] if you have any questions regarding this survey.
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