Employee Exit Interview Form Page 2

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PART ll: COMMENTS/SUGGESTIONS FOR IMPROVEMENT
We are interested in what our employees have to say about their work experience with the University. Please
complete this form.
1. What did you like most about your job?
2. What did you like least about your job?
3. How did you feel about the pay and benefits?
Excellent
Good
Fair
Poor
Rate of pay for your job
Paid holidays
Paid vacations
Retirement plan
Medical coverage for self
Medical coverage for dependents
Life insurance
Sick leave
4. How did you feel about the following:
Very
Slightly
Slightly
Very
Satisfied
Satisfied
Neutral
Dissatisfied
Dissatisfied
Opportunity to use your abilities
Recognition for the work you did
Training you received
Your supervisor’s management
methods
The opportunity to talk with your
supervisor
The information you received on
policies, programs, projects and
problems
The information you received on
departmental structure
Promotion policies and practices
Discipline policies and practices
Job transfer policies and practices
Overtime policies and practices
Performance review policies and
practices
Physical working conditions
08/24/10
Page 2 of 3

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