Employee Exit Form Questionnaire
We would appreciate you taking a few minutes to answer the following questions as honestly as possible. Your individual responses are treated as confidential, and will not become part of your personnel file. We believe that the information is of vital importance and will assist in analyzing our employee retention and turnover. Thank you for your cooperation!
Your Name
*
First Name
Last Name
Position/Title
*
Department
*
Gender
*
Please Select
Female
Male
Others
Phone number
*
1) Please check any of the following which contributed to your decision to leave your current position
*
Better job opportunity
Quality of supervision
Attending school
Work environment
Commuting distance
Self-employment
Content of work
Salary
Relocation
Lack of advancement opportunity
Health reasons
Better fringe benefits
Family circumstances
Unfair treatment
Others
2) Please tell us how satisfied you are with Slum2School's total compensation/benefits package:
*
Highly Dissatisfied
Dissatisfied
Neutral
Satisfied
Highly Satisfied
Rate of Pay
Contributions to retirement plan
Pension
Life insurance
Medical insurance
Annual Leave Allowance
Employee Assistance Program
3) Please tell us the frequency with which your line manager exhibited the following actions:
*
Rarely
Sometimes
Often
Usually
Always
Explains policies and procedures:
Follows policies and procedures
Demonstrates fair and equal treatment
Provides recognition on the job
Communicates well with subordinates
Communicates well with you
Cultivates cooperation among team members
Resolves complaints and problems
Assists in mentoring and encourages career development
Provides new employees with appropriate orientation to the department
Remains open to employee ideas and suggestions
4) Please advise us of your experience with the performance management process:
*
No
Yes
Did you receive a current position description when you were employed?
Were your job responsibilities fully and correctly explained to you when you were employed?
Were you fully onboarded?
Did you receive coaching and feedback on an annual basis?
Did you receive an assessment on a bi-annual basis?
5) Please indicate your level of satisfaction with the work environment in the organization:
*
Highly Dissatisfied
Dissatisfied
Neutral
Satisfied
Highly Satisfied
Level of respect and dignity for others as practiced by co-workers
Level of respect and dignity for others as practiced by manager(s)
Level of respect and dignity for others as practiced other employees
Friendliness and cooperation of fellow employees
Equipment/technology provided
Physical working conditions
The department demonstrates tolerance of ethnic and cultural diversity
Respect to the resumption & closing working time
Keeps to the break time
Assigned workload
6) Please indicate the level at which you would recommend the organization to a friend as a good place to work?
*
Not at all
1
2
3
4
5
6
7
8
9
Extremely likely
10
1 is Not at all, 10 is Extremely likely
7) Overall experience at Slum2School Africa
*
Worst
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Worst, 10 is Excellent
Any other feedback you'd like to give us?
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