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Questions marked with a * are required Exit Survey
 
 
* Name:
   
* Position:
   
* Department/Store Branch:
   
* Immediate Supervisor:
   
* Date Hired:
   
* Date of Resignation:
   
 
 
 
* 1. The reason(s) that you are leaving the Company is/are: (check appropriate box/es)
 
A job offer you can't refuse
 
Inadequate pay and benefits
 
Limited career advancement opportunities
 
Difficulty with working condition – ex. schedule, location, etc.
 
Unhappy with job duties
 
Unhappy with supervision
 
Relocation; moving out of the area
 
Other

 
 
* 2. What triggered your decision to leave the Company? What could the Company have done to prevent you from leaving?
   
 
 
* 3. What did you like MOST about your job? What do you like LEAST about it?
   
 
 
* 4. Was the work you were doing approximately what you expected it would be?
 
Yes
 
No
 
 
* 5. Was your workload usually:
 
Too light
 
About right
 
Too heavy
 
6. How would you rate the following? Please select the appropriate circle.
Poor Fair Good Excellent
* Working conditions e.g. work schedule, facilities, etc
* Career development or advancement/promotion opportunities
* Training and development programs offered
* Salary, benefits, merit increase, performance bonus structure
* Performance review or feedback system
* Communication and cooperation throughout the organization
* Communication and cooperation within your department
* Communication and cooperation between managers and staff
 
7. What did you think of your Supervisor/Manager on the following points? Please choose the appropriate circle.
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
* Provided recognition and motivation
* Resolved employees’ complaints
* Was sensitive to employees’ needs
* Provided timely and constructive feedback on performance
* Was receptive to open communication
 
 
* 8. Would you recommend the Company to a friend as an organization to work for?
 
No
 
With reservations
 
Yes
 
 
* 9. Would you consider returning to this Company in the future? What suggestions do you have to make the Company a better workplace?