EXIT INTERVIEW FORM

STRICTLY CONFIDENTIAL
Your opinions concerning your employment at OPD are of value to us.
Please take a few minuends to complete this questionnaire so that we may develop policies and practices that better reflect the need of our employees.

Employee's Name: __________________ Department: ______________________
Last Working Day: __________________ Supervisor's Name: ________________
Exit Interview Date: _______________

1. Explain the most important reason(s) why you are leaving OPD.
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2. How could OPD have prevented you from leaving?
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3. If you have accepted another position, how is this position different (in terms of activities, responsibilities, salary, benefits) than your job at OPD?
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4. What did you like most about your job?
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5. What did your like least about your job?
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6. Describe the working relationship you have with your supervisor.
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7. Was the job accurately described to you when you were hired? If not, how was the job different from what you were told?
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8. Would you recommend OPD to a friend as a place to work?
Please explain your answer.
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9. Was the amount of work you were expected to do....?
_____ Too much for one person.
_____ Occasionally heavy, but about right most of the time.
_____ Just right, not under-worked or overworked.
_____ Not enough. Did not fully take up my time.

10. Did you feel your efforts made an important contribution to your office?
___ Almost always ___ Sometimes ___ Seldom ___ Never ___ Don't know

11. Were you kept informed of changes in policies and practices?
___ Almost always ___ Sometimes ___ Seldom ___ Never ___ Don't know

12. Were you receive enough feedback from your supervisor about your work?
___ Almost always ___ Sometimes ___ Seldom ___ Never ___ Don't know

13. Did you feel that you had opportunities to advance your career/knowledge/skills?
___ Almost always ___ Sometimes ___ Seldom ___ Never ___ Don't know

14. How would you rate your satisfaction with OPD benefits package?
___ Very satisfied ___ Satisfied ___ Somewhat dissatisfied ___ Very dissatisfied

15. This space is provided for additional comment you may wish to make.
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