Employee Exit Survey Sample

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Employee Exit Survey Sample
Division:
Date:
Program:
For Office Use
Position:
Exit Interview Information
Strongly
Neither
Strongly
Please circle your level of agreement with the following:
Disagree
Disagree
agree or
Agree
Agree
disagree
My supervisor encouraged me and/or listened to suggestions.
1
2
3
4
5
My supervisor demonstrated equal and fair treatment.
1
2
3
4
5
My supervisor provided me with recognition.
1
2
3
4
5
1
2
3
4
5
My supervisor promoted cooperation and teamwork within my
department.
My supervisor promoted cooperation and teamwork between
1
2
3
4
5
other departments.
My supervisor successfully resolved complaints or problems.
1
2
3
4
5
I was satisfied with the level and amount of supervision I
1
2
3
4
5
received.
I receive fair and honest performance evaluations.
1
2
3
4
5
1
2
3
4
5
I was given the tools I needed to provide the services or
products assigned to me.
1
2
3
4
5
I was satisfied with the amount of training I received to do my
job.
The type of training I received helped me in my job tasks.
1
2
3
4
5
My job was a good match with my skills and interests.
1
2
3
4
5
My job matched what the organization told me to expect when
1
2
3
4
5
I was hired.
My workload was appropriate.
1
2
3
4
5
The work environment (stress, frustration) was manageable.
1
2
3
4
5
The type of work I did was satisfying.
1
2
3
4
5
1
2
3
4
5
The organizational lines of communication flowed easily.
The communication within my team was appropriate.
1
2
3
4
5
I had adequate promotions and opportunities in this
1
2
3
4
5
organization.
My pay level and raises were fair in relation to my job
1
2
3
4
5
performance and responsibilities.
My other benefits (vacation, paid holidays, etc.) were
1
2
3
4
5
competitive.
My group insurance and retirement benefits were competitive.
1
2
3
4
5
I believe that I received the recognition I deserved for my work
1
2
3
4
5
contributions.
Management’s treatment of me was fair.
1
2
3
4
5
My co-workers met my expectations.
1
2
3
4
5
1
2
3
4
5
I was satisfied with the communication between my team and
other teams.
1
2
3
4
5
My work environment was comfortable and adequate to meet
my needs.
1
2
3
4
5
The culture of the organization was supportive.
The leadership followed through with its commitments to
1
2
3
4
5
employees.
I would be willing to work for this organization in the future.
1
2
3
4
5
I would recommend a friend to this organization for
1
2
3
4
5
employment.

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