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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
 
 

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.
 
 
 
Which of the following best describes the department you work in?
 
Customer Service
 
Finance/Accounting
 
MIS
 
Sales/Marketing
 
Corporate Marketing
 
Human Resources
 
 
 
Strongly Agree    Agree    Neutral    Disagree    Strongly Disagree   
If I do a good job I will be rewarded
I get what I need to do my job well
The conditions I work in are good
I feel stress in my job
I am interested in my job
Management makes wise decisions
I am proud to work for this company
 
 
 
Which of the following best describes your position here?
 
Clerical
 
Technician
 
Managerial
 
Accounting
 
Project Manager
 
Other
 
 
 
Weekly or more   Often Monthly   Quarterly    Less than quarterly   Never  
Personal Performance
Departmental Performance
Company Performance
Career Goals
 
 
 
How long have you worked at (company)?
 
Less than 6 months
 
6 months - 1 year
 
1-2 YEARS
 
1-2 years
 
3-5 years
 
More than 5 years
 
 
 
Strongly Disagree Somewhat Disagree Neither agree or disagree Somewhat Agree Strongly Agree
The company tries to create an exciting work environment.

I receive enough opportunity to interact with other employees on a formal level.

I receive enough opportunity to interact with other employees on an informal level.

I feel a sense of completion with my job?

I have enough freedom in my position to take independent action when needed?

I have enough freedom in my position to do what is right for the customer.

 
 
 
Overall how satisfied are you with your position at this company?
 
Very dissatisfied
 
Somewhat dissatisfied
 
Not satisfied or dissatisfied
 
Somewhat Satisfied
 
Very satisfied
 
 
 
Please indicate your level of agreement with each of the following statements.
 
 
 
Do you feel that employees are recognized as individuals?
 
Always
 
Usually
 
Sometimes
 
Rarely
 
Never
 
Not sure
 
 
 
How motivated are you to see the company succeed?
 
Very motivated
 
Somewhat motivated
 
Not very motivated
 
Not at all motivated
 
Not sure
 
 
 
The company clearly communicates its goals and strategies to me?
 
Strongly disagree
 
Somewhat disagree
 
Don't agree or disagree
 
Somewhat agree
 
Strongly agree
 
 
 
How flexible is the company with respect to your family responsibilities?
 
Very inflexible
 
Somewhat inflexible
 
Neither
 
Somewhat flexible
 
Very flexible
 
 
 
Do you take part in your company's flextime program?
 
Yes
 
No
 
 
 
Would you refer a friend to apply for a job at this company?
 
Definitely
 
Probably
 
Not sure
 
Probably not
 
Definitely not
 
 
 
Have you ever observed or experienced any of the following forms of discrimination or harassment at this company?
 
Racial discrimination
 
Sexual harassment
 
Age discrimination
 
Gender discrimination
 
Sexual orientation discrimination
 
No, none of the above have been observed or experienced
 
 
 
The company clearly communicates its goals and strategies to me?
 
Strongly disagree
 
Somewhat disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Strongly agree
 
 
 
Which of the following describes the variety of tasks required by your position?
 
Too many
 
Enough
 
Not enough
 
 
 
How would you rate (Company) on each of the following?
 
 
 
I have a clear path for career advancement?


 
Strongly disagree
 
Somewhat disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Strongly agree
 
 
 
My job requirements are clear.



 
Strongly disagree
 
Somewhat disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Strongly agree
 
 
How would you rate your manager in each of the following areas? Please assign a rating on a scale from 1 to 5, where 1 represents "Poor" and 5 represents "Excellent".

Poor    Average    Good    Very good    Excellent   
Communication
Planning and organizing
Directing and coordinating
Job/Technical knowledge
Interpersonal relationship
 
 
 
Which of the following best describes the department you work in?
 
Customer Service
 
Finance/Accounting
 
MIS
 
Sales/Marketing
 
Corporate Marketing
 
Human Resources
 
 
 
Which of the following best describes your position here?
 
Clerical
 
Technician
 
Managerial
 
Accounting
 
Project Management
 
Other
 
 
 
How long have you worked at (company)?
 
Less than 6 months
 
6 months - 1 year
 
1-2 YEARS
 
1-2 years
 
3-5 years
 
More than 5 years
 
 
 
Overall how satisfied are you with your position at this company?
 
Very dissatisfied
 
Somewhat dissatisfied
 
Not satisfied or dissatisfied
 
Somewhat Satisfied
 
Very satisfied
 
 
 
Please indicate your level of agreement with each of the following statements.
 
 
 
Do you feel that employees are recognized as individuals?
 
Always
 
Usually
 
Sometimes
 
Rarely
 
Never
 
Not sure
 
 
 
How motivated are you to see the company succeed?
 
Very motivated
 
Somewhat motivated
 
Not very motivated
 
Not at all motivated
 
Not sure
 
 
 
The company clearly communicates its goals and strategies to me?
 
Strongly disagree
 
Somewhat disagree
 
Don't agree or disagree
 
Somewhat agree
 
Strongly agree
 
 
 
How flexible is the company with respect to your family responsibilities?
 
Very inflexible
 
Somewhat inflexible
 
Neither
 
Somewhat flexible
 
Very flexible
 
 
 
Do you take part in your company's flextime program?
 
Yes
 
No
 
 
 
Would you refer a friend to apply for a job at this company?
 
Definitely
 
Probably
 
Not sure
 
Probably not
 
Definitely not
 
 
 
Have you ever observed or experienced any of the following forms of discrimination or harassment at this company?
 
Racial discrimination
 
Sexual harassment
 
Age discrimination
 
Gender discrimination
 
Sexual orientation discrimination
 
No, none of the above have been observed or experienced
 
 
 
The company clearly communicates its goals and strategies to me?
 
Strongly disagree
 
Somewhat disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Strongly agree
 
 
 
Which of the following describes the variety of tasks required by your position?
 
Too many
 
Enough
 
Not enough
 
 
 
I receive enough opportunity to interact with other employees on a formal level.

 
Strongly disagree
 
Somewhat disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Strongly agree
 
 
 
How would you rate (Company) on each of the following?
 
 
 
I have a clear path for career advancement?


 
Strongly disagree
 
Somewhat disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Strongly agree
 
 
 
My job requirements are clear




 
Strongly disagree
 
Somewhat disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Strongly agree
 
 
How would you rate your manager in each of the following areas? Please assign a rating on a scale from 1 to 5, where 1 represents "Poor" and 5 represents "Excellent".
Poor    Average    Good    Very Good    Excellent   
Communication
Planning and organizing
Directing and coordinating
Job/Technical knowledge
Interpersonal relationship
 
 
 
Which of the folowing best describes the department you work for?
 
Customer service
 
Finance/Accounting
 
MIS
 
Sales/Marketing
 
Corporate marketing
 
Human Resources
 
 
 
Which of the following best describes your position here?
 
Clerical
 
Technician
 
Managerial
 
Accounting
 
Project Manager
 
Other
 
 
 
 
How long have you worked at (company)?
 
Less than 6 months
 
6 months – 1 year
 
1-2 years
 
3-5 years
 
More than 5 years
 
 
 
Overall how satisfied are you with your position at this company?
 
Dissatisfied
 
Somewhat dissatisfied
 
Neutral
 
Satisfied
 
Very Satisfied
 
N/A
 
 
 
Do you feel that employees are recognized as individuals?
 
Always
 
Usually
 
Sometimes
 
Rarely
 
Never
 
Not sure
 
 
 
How motivated areyou to see the company succeed?
 
Very motivated
 
Somewhat motivated
 
Not very motivated
 
Not at all motivated
 
Not sure
 
 
 
The company clearly communicates its goals and strategies to me?
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
How flexible is the company with respect to your family responsibilities?
 
Very inflexible
 
Somewhat inflexible
 
Neutral
 
Somewhat flexible
 
Very flexible
 
 
 
Do you take part in your company's flextime program?
 
Yes
 
No
 
 
 
Would you refer a friend to apply for a job at this company?
 
Definitely
 
Probably
 
Not sure
 
Probably not
 
Definitely not
 
 
 
Have you ever ovserved or experienced any of the following forms of discrimination or harassment at this company?
 
Racial discrimination
 
Sexual harassment
 
Age discrimination
 
Gender discrimination
 
Sexual orientation discrimination
 
No, none of the above have been observed or experienced
 
 
 
The company clearly communicates its goals and strategies to me?
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
The company clearly communicates its goals and strategies to me?
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 

In thinking about the variety of tasks your position requires, would you say that there are:
 
Too many
 
Enough
 
Not enough
 
 
 
I receive enough opportunity to interact with other employees on a formal level.
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
I have a clear path for career advancement?
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
My job requirements are clear.



 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
Check which best describes your feeling about the following aspects of your employment. This information will be kept confidential in that you are not required to put your name on the form.
Very Satisfied Satisfied Dissatisfied
Duties of the job
Training & development programs
Opportunities for advancement
Salary treatment
Benefit programs
Working conditions
Working hours
Co-workers
Supervision
Overall, as a place to work
 
 
 
Gender:
 
Female
 
Male
 
 
 
Department:
   
 
 
 
Reason for Leaving: (Check all that apply)
 
Benefits
 
Better job opportunity
 
Commute
 
Family reasons
 
Not challenged
 
Pay
 
Personal reasons
 
Relocation/move
 
Return to school
 
Supervision
 
Work relationships
 
Health

 
 
 
Additional comments
   
 
 
 
I am contacting managers to talk about a topic discussed recently in the Harvard Business Review called "knowledge management." Quoting from the HBR article, "knowledge management" is "a formal process of figuring out what information a company has that could benefit others in the company then devising ways of making it easily available."

Sometimes companies are involved in "knowledge management" but call it by some other name. Please tell me whether your company is or is not doing the following things...
 
 
 
Collecting and sharing information about best practices
 
Yes
 
No
 
Refuse/Do not know
 
 
 
Setting up networks for transferring information between employees who interact with customers and company managers
 
Yes
 
No
 
Refuse/Do not know
 
 
 
Setting up networks for trasnferring information between employees who interact with customers and engineers who create the product.
 
Yes
 
No
 
Refuse/Do not know
 
 
 
Creating formal procedures to ensure that lessons learned in the course of a project are passed along to others doing similar tasks.
 
Yes
 
No
 
Refuse/Do not know
 
 
 
Finding formal ways to tie a manager's pay to the bottom-line impact of the information they provide to other managers in the company.
 
Yes
 
No
 
Refuse/Do not know
 
 
 
Developing "expert systems" to capture and circulate special skills and knowledge.
 
Yes
 
No
 
Refuse/Do not know
 
 
 
According to experts companies can determine if a "knowledge management" program is good for them depending on how they answer the next five questions. The questions are not complicated, and to save time, we are not expecting perfect answers. Just give us your top-of-mind response.
 
 
 
What kinds of activities in your organization have the biggest impact on the bottom line? Of the activities you mentioned, which one probably has the biggest impact?
   
 
 
 
What kinds of knowledge, if you had it, would make this activity work more effectively?
   
 
 
 
Please identify the manager about whom you are giving the feedback:
 
Manager 1
 
Manager 2
 
Manager 3
 
Manager 4
 
Manager 5
 
 
 
Behavior - Read each statement carefully and indicate the extent to which your manager practices this behavior.
 
 
 
Basic Communication -

When communicating with manager:
 
 
 
Please give some meaningful feedback to this manager about his or her basic communications skills:
   
 
 
 
Direction and Feedback -

Manager gives clear directions and helpful feedback before and after each project.
 
 
 
Your comments to the manager about either the directions or feedback provided by him:
   
 
 
 
Thank you for taking the time to complete this survey.

All participant responses are anonymous.
 
 
 
Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
I feel encouraged to come up with new and better ways of doing things.
My work gives me a feeling of personal accomplishment.
I have the tools and resources to do my job well.
On my job, I have clearly defined quality goals.
The Company does an excellent job of keeping employees informed about matters affecting us.
When a customer is dissatisfied, I can usually correct the problem to their satisfaction.
I understand why it is so important for (Company name) to value diversity (to recognize and respect the value of differences in race, gender, age, etc.)
My job makes good use of my skills and abilities.
My supervisor's manager visibly demonstrates a commitment to quality.
Senior managers visibly demonstrate a commitment to quality.
How satisfied are you with the information you receive from management on what is going on in your division?
How satisfied are you with your involvement in decisions that affect your work?
Considering everything, how satisfied are you with your job?
How satisfied are you with the information you receive from management on what's going on in the company?
How satisfied are you with your opportunity to get a better job in this company?
 
 
 
What suggestions do you have for the improvement of (Company Name)?
   
 
 
 
What changes would you suggest to improve (Company Name)'s performance?
   
 
 
 
What other issues not included in this survey need to be addressed in this organization?
   
 
 
 
Overall, how satisfied are you with your job?

 
Dissatisfied
 
Somewhat dissatisfied
 
Neutral
 
Satisfied
 
Very Satisfied
 
 
 
Compared to a year ago how would you describe your current job satisfaction level?
 
Much less satisfied
 
Somewhat less satisfied
 
Same
 
Somewhat more satisfied
 
Much more satisfied
 
 
How do you feel about the following statements about the company?
Strongly disagree    Somewhat disagree    Neutral    Agree    Strongly Agree    N/A
Company leadership has made changes which are positive for me.
Company leadership is responding to the important external issues.
Company leadership is responding to the important internal issues.
I am enthusiastic about the change in the company.
I am personally committed to the changes being implemented in the company.
 
 
How satisfied are you...
Very dissatisfied     Somewhat dissatisfied     Neutral     Somewhat satisfied     Very satisfied     N/A
With the leaders in your company as positive role models?
Your direct supervisor as a positive role model?
That your supervisor cares about and is responding to the issues that are important to you?
With your own morale?
With the morale of your co-workers?
With the team spirit in your work environment.
With the professionalism of your co-workers?
That your work gives you a feeling of personal accomplishment?
That you receive appropriate recognition for your contributions?
With the empowerment you have to influence the quality of your work?
With your ability to maintain a reasonable balance between your family life and your work life.
That your compensation matches your responsibilities?
With your overall job security?
With the amount and frequency of informal praise and appreciation you receive from your supervisor?
With the company as a place to work?
 
 
 
What is the best thing about working for this company?
   
 
 
 
What bothers you the most about working for this company?
   
 
 
 
What could the company do to enhance your satisfaction as a company employee?
   
 
 
 
Thank you for your feedback.
 
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