ࡱ> %` bjbj"x"x 4@@d$LlLlLl8l<lT$ׅ p p p p pdtdtdtVXXXXXX$h]j|dttt^dtdt| p pvvvdtd p pVvdtVvvv pp Pn;Lltvw| 0ׅvljPuljvljv,dtdtvdtdtdtdtdt||Jvddtdtdtׅdtdtdtdt$$$?(C$)$$$(C$$$  PRIVATE NAME: JOB TITLE: DIVISION / UNIT: START DATE WITH ORGANIZATION:START DATE IN POSITION:SEPARATION DATE: TOTAL LENGTH OF SERVICE: OTHER POSITIONS HELD WITH ORGANIZATION:  1.Please describe the primary reason(s) you are leaving your current position. 2.Did dissatisfaction with any of the following factors influence your decision to leave?YESNOType of workWorking conditions (setting, schedule, travel, flexibility)PaySupervisorLocationCost of living in areaCommute 3.Please rate the following aspects of the job you are vacating. Use the 1 5 scale below.1 Poor23 Average45 ExcellentType of work performedFairness of workloadSalary Working conditionsTools and equipment providedTraining receivedCo-workersSupervision receivedLevel of input in decisions that affected you 4.Please rate the following aspects of the organization overall. Use the 1 5 scale below.1 Poor23 Average45 ExcellentRecruitment processNew employee orientation Training opportunitiesCareer development opportunitiesEmployee moraleFair treatment of employeesRecognition for a job well doneSupport of work-life balanceCooperation within the agencyCommunication between management and employeesPerformance and development planning and evaluationInterest and investment in employeesCommitment to customer serviceConcern with quality and excellenceAdministrative polices/procedures 5.Please rate your supervisor on the following factors. Use the 1 5 scale below.1 Never2 Seldom3 Often4 Usually5 AlwaysGave usable performance feedback Recognized accomplishmentsClearly communicated expectations Treated you fairly and respectfullyCoached, trained, & developed youProvided leadershipEncouraged teamwork & cooperationResolved concerns promptlyListened to suggestions & feedbackKept employees informedSupported work-life balanceProvided appropriate & challenging assignments 6.If you accepted another job, please complete the following.Name of new employerLocation of positionTitle of positionNature of work of positionSalary of positionWhat the new position and/or organization offers that we do not. Additional questions you may wish to ask: What led you to accept your current position with our organization? Were your expectations of the job and this organization met? If not, why? What, if anything, do you wish you had known before you took the job? How well were your talents and skills used in the completion of projects? Was your career path and future with our organization made clear to you? What were the positive aspects about your job, manager, and/or the organization that caused you to stay as long as you did? What do you consider to be the biggest challenge this organization now faces and needs to overcome? In your opinion, what were the top three barriers to productivity in your job or work unit? What would you suggest to management to make our organization a better place to work? What advice would you give your replacement? Would you recommend this organization to others as a place to work? Why or why not? Would you consider re-employment? What, if anything, could have been done to prevent you from leaving? Do you have any objection to our sharing your comments with management? Did you find your new job, or were you recruited? Did you witness any violations of laws or policies? Were you a victim of any type of harassment? Were you asked to do anything unethical? 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