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Exit Interview Questionnaire
1.
What is your last day of employment with Pinal County:
2.
How long have you been employed with Pinal County:
3.
Will your next job be in a related field:
Yes
No
4.
What is your next job:
5.
Who is your next employer:
6.
Please rate your satisfaction with the following on a scale of 1 to 5 (1=Low, 5=High)
Low
High
A.
Training
1
2
3
4
5
B.
Quality of Supervision
1
2
3
4
5
C.
Utilization of my skills
1
2
3
4
5
D.
Recognition of my achievements
1
2
3
4
5
E.
Cooperative, friendly work environment
1
2
3
4
5
F.
Organizational support
1
2
3
4
5
G.
Overall level of communication
1
2
3
4
5
H.
Communication with co-workers
1
2
3
4
5
I.
Communication with supervisor
1
2
3
4
5
J.
Salary
1
2
3
4
5
K.
Benefits
1
2
3
4
5
7.
Why are you leaving County employement?
Other Employment
Benefits
Salary
Lack of Advancement Opportunities
Retirement
Lack of Organizational Appreciation and/or Support
Medical Reasons
Workload
Return to School
Schedule
Work related stress/burnout
Performance Appraisals
Relocation
Personal Reasons
Supervisor/Management
8.
What might have encouraged you to remain with Pinal County?
Higher Pay
Different Supervisor
Improved Benefits
Transfer to a Different Department
Reduced Benefit Costs
Training Opportunities
Reduced Hours
9.
On a scale of 1 to 5 (1=Strongly Disagree, 5=Strongly Agree) how do you agree with the following statements:
Strongly
Disagree
Strongly
Agree
A.
My supervisor is approachable
1
2
3
4
5
B.
My supervisor is knowledgeable in his/her own job
1
2
3
4
5
C.
My supervisor treats all staff with equal respect
1
2
3
4
5
D.
My supervisor actively supports my career growth
1
2
3
4
5
E.
My supervisor welcomes suggestions / ideas
1
2
3
4
5
F.
My supervisor resolves complaints & grievances in a timely manner
1
2
3
4
5
G.
My supervisor consistently follows policies & procedures
1
2
3
4
5
H.
My supervisor provides clear communication through staff meetings, one-on-one feedback
1
2
3
4
5
10.
What part of your job did you enjoy most?
11.
What part of your job did you enjoy least?
12.
Additional Comments:
13.
Would you recommend Pinal County as an employer?
Yes
No
Optional:
Employee Name:
Phone Number: