This exit interview questionnaire will be used to learn specific information regarding your employment experience with the agency. We are interested in your thoughts and value your opinions. The information will be used to help identify areas needed for improvement, analyze factors contributing to turnover and hopefully improve future employment experiences.
The information you share with us will remain confidential. Your time in completing this short questionnaire is greatly appreciated. We wish you the very best in your new endeavors.
Why did you leave your employment with the agency?
Check all that apply
Career advancement
More challenging work
Higher salary
Better employee benefits
Less travel
Better supervision/management
Other (please specify)
Please provide additional information regarding your reasons for leaving employment with the agency:
Please rate the following items regarding your employment with the agency
Positive work environment (relationships, values and culture)
Challenging and meaningful work
Appropriate balance of work/life issues
Flexibility in work schedule/telecommuting
Training/educational opportunities
On-the-job training and developmental experiences
Opportunities for advancement
Appropriate resources and equipment to perform the job
Equitable compensation
Promoted diversity
Please rate the following statements regarding supervision received
Sets clear goals/performance expectations
Distributes workload equitably
Provides information needed to perform job
Recognizes employees for their achievements
Welcomes suggestions and encourages feedback
Is accessible/approachable
Addresses problems promptly
Is trustworthy
Please rate the following statements regarding leadership of the agency
Sets clear goals/objectives for the organization
Encourages cooperation and teamwork among staff
Values employee contributions
Makes an effort to hear employee concerns
Is responsive to known employee concerns
Encourages open communication
Treats employees with respect
what did you enjoy most about working with the agency?
