ࡱ> ` mbjbj 0B B B V WWW8VWXV A}Y]]]]^&acT|V|V|V|V|V|V|$~hez|B qd^^qdqdz|]]|iiiqdj8]B ]T|iqdT|iip* B Dr]Y PdS<Wdq"sT }0A}qFdDDrB Drqdqdiqdqdqdqdqdz|z|iqdqdqdA}qdqdqdqdV V V d'0d&V V V 0V V V  EXIT INFORMATION QUESTIONNAIRE PART I Name: FORMTEXT      Supervisor: FORMTEXT      Division: FORMTEXT      Bureau/Section: FORMTEXT      Date of Employment with the State: FORMTEXT      Date of Employment with this Department: FORMTEXT      Length of Service in Current Position: FORMTEXT      Job Class: FORMTEXT       To help us improve the quality of the Department s services and to improve employee satisfaction and working conditions, we would like you to complete this questionnaire. Your candid remarks will be most helpful to us. Responses will be shared only with the Director, unless you request otherwise. Please return this questionnaire to  FORMTEXT       by  FORMTEXT       . You will be contacted within the next few days to discuss this questionnaire and give you the opportunity to make additional comments, if you wish to do so. A follow-up questionnaire will be mailed to you in approximately 30 days. Please provide us, in writing, any positive or negative information regarding specific work situations or conditions. These will be thoroughly reviewed and action taken as appropriate. (If more room is needed, attach additional sheets as necessary) 1. Do you have another job? Yes  FORMCHECKBOX  No  FORMCHECKBOX If so, with whom?  FORMTEXT       2. Why did you decide to seek other employment? Select the best response for you. a. FORMCHECKBOX Work not appealingb. FORMCHECKBOX Compensationc. FORMCHECKBOX Lack of recognitiond. FORMCHECKBOX Self-employmente. FORMCHECKBOX Career opportunity  Please describe: FORMTEXT      f. FORMCHECKBOX Quality of supervisiong. FORMCHECKBOX Working conditionsh. FORMCHECKBOX Family circumstancesi. FORMCHECKBOX Health reasonsj. FORMCHECKBOX Other  Please explain: FORMTEXT       Comments: FORMTEXT        3. Before making your decision to leave, did you investigate the possibility of a transfer? Yes  FORMCHECKBOX  No  FORMCHECKBOX  If yes, what positions were offered?  FORMTEXT        4. Were you given complete and accurate information regarding your job duties prior to your acceptance of your job with this department? Yes  FORMCHECKBOX  No  FORMCHECKBOX  Explain: FORMTEXT <>JLPXZ\^rtvq`qVhgEU@OJQJ!jthU@OJQJU&jhU@OJQJUmHnHu!jhU@OJQJUhU@OJQJjhU@OJQJUhK4hUhU@OJQJh&hUCJOJQJaJh&hU5CJOJQJaJh&h3*5CJ OJQJaJ h&hU5CJ OJQJaJ >LNP\\kd$$Ifr0%%4 a$*$If $$Ifa$$*$a$$*$a$ $mmm  . 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How do you feel about the job you are leaving? a)What did you like most?  FORMTEXT        b)What did you like least?  FORMTEXT        c)What changes would you like to see?  FORMTEXT        6. Were you provided the necessary orientation and training to successfully carry out your job duties? Yes  FORMCHECKBOX  No  FORMCHECKBOX  Explain: FORMTEXT        7. How would you rate the following items? YesNoa)Supervisor properly explained procedures. FORMCHECKBOX  FORMCHECKBOX b)Supervisor demonstrated fair and equal treatment. FORMCHECKBOX  FORMCHECKBOX  Very GoodGoodFairPoorc)Showed concern for you as a person and as an employee. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX d)Provided recognition for accomplishments. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX e)Developed cooperation among employees. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX f)Tried to resolve complaints and problems. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX g)Enforced established policies and procedures. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX h)Personally followed established policies. FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  FORMCHECKBOX  8. Do you have any suggestions for your supervisor or management in general? FORMTEXT        9. What changes would have made your job more enjoyable? FORMTEXT        10. What changes would have improved the operation of your work unit? FORMTEXT        11. Would you like a copy of this questionnaire given to your supervisor? Yes  FORMCHECKBOX  No  FORMCHECKBOX  12. 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