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Employee Information:
* First Name : 
* Last Name : 
* Email Address : 
 
 
 
* Date of Termination:
 
 
 
* Reason for Termination:
 
Maternity
 
Military
 
Relocation
 
Retirement
 
Dissatisfied with Work
 
Dissatisfied with Management
 
Dissatisfied with Opportunities
 
Better Job
 
Better Location
 
Better Benefits
 
Better Pay
 
Unknown/Other (Please Explain):
 

 
 
 
* 1. Why are you leaving the company?
   
 
 
 
* 2. Is there something that triggered your decision to leave GoGrid?
 
Yes
 
No
 
 
 
If yes, please elaborate.
   
 
 
 
* 3. When hired, were any promises made to you that did not materialize? If so, please explain.
   
 
 
 
4. When hired, which of the following did you feel you did not receive adequate orientation?
 
The Company
 
Your Position
 
Company Policies and Benefits
 
Other

 
 
 
* 5. What was most satisfying about your job?
   
 
 
 
* 6. What was least satisfying about your job?
   
 
 
 
* 7. Is there anything that you would have changed about your position?
   
 
 
 
* 8. Did you receive enough training to do your job effectively?
   
 
 
 
* 9. Did you feel you were kept well informed of company policies and developments?
   
 
 
 
* 10. Were you satisfied with the company’s performance evaluation process?
   
 
 
 
* Did your manager give you timely reviews?
 
Yes
 
No
 
 
 
If no, did this affect the way you worked in any way? Productivity? Morale? Please elaborate.
   
 
 
 
* 12. Do you have any recommendations for your manager on making the work environment better for future employees?
   
 
 
 
* 13. Please rate the quality of supervision you received from your manager (1 – 5; 1 being the worst and 5 being the best)
   
 
 
 
* 14. What could your immediate supervisor do to improve his/her management style?
   
 
 
 
* 15. Did you feel you were paid fairly?
   
 
 
 
* 16. Did you feel you received reasonable consideration for promotional opportunities?
   
 
 
 
* 17. Were you satisfied with company benefits?
   
 
 
 
* 18. If a friend was looking for a job, would you recommend he/she apply for a position here?
   
 
 
 
* 19. Tell me about the three things that, if changed, would allow you to stay with the company.
   
 
 
 
* 20. Pretend that you have just bought the company. Please tell me about the first three changes you would make.
   
 
 
 
* 21. Thinking about the supervision you have received, tell me about the strengths and opportunities for improvement of the work experience our company provides its employees.
   
 
 
 
* 22. If the opportunity was available, would you be interested in employment at GoGrid again?
   
 
 
 
23. If you were leaving the company for another job, please provide the following information:
   
* New Company:
   
* New job title and duties:
   
* Is the new job a step up for you in terms of compensation and/or status?
   
 
 
 
* 24. Finally, do you have any additional comments or unresolved issues you'd like to discuss?
   
 
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