Employee Exit Survey

Your contributions to the American Academy of Neurology during your period of employment are greatly valued. Before you leave the organization, we would appreciate it if you could share some of your thoughts and insights with us. The purpose of this form is to help us to learn from your experiences with us; this information will be used in an effort to improve the organization and will be managed sensitively. HR does not provide a copy or your survey feedback nor quote your feedback to leadership. We will use high level themes and data inclusive of multiple participants to provide insights to Executive Leadership and improve our staff experiences. During the exit meeting, a member of the HR team would seek your agreement to share any further feedback with leadership.

Thank you for being open and sharing your thoughts with us.

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* 1. Your Name

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* 2. Today's Date

Date

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* 3. Your Department

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* 4. Your Hire Date

Date

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* 5. Your Last Day Worked

Date

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* 6. Your Direct Supervisor

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* 7. How long have you been considering leaving our organization?

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* 8. What reason below primarily describes your reason for leaving (select one)?

1. Job Fit

2. Issues with Supervisor

3. Organization/Culture Fit

4. Limited Advancement/Career Opportunities

5, Benefits

6. Personal Reasons/Family Obligations

7. Compensation

8. Seeking Self-Employment

9. Career Change/New industry

10. Issues with Co-Workers/Direct Reports

11. Issues with Organization Leadership

12. Location/Commute/Transportation

13. Personal Relocation

14. Return to School

15. Work Life Balance

16. Retirement

17. Temp or Contract Assignment Complete

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* 9. Other secondary reason(s) for leaving?

1. Job Fit

2. Issues with Supervisor

3. Organization/Culture Fit

4. Limited Advancement/Career Opportunities

5, Benefits

6. Personal Reasons/Family Obligations

7. Compensation

8. Seeking Self-Employment

9. Career Change/New industry

10. Issues with Co-Workers/Direct Reports

11. Issues with Organization Leadership

12. Location/Commute/Transportation

13. Personal Relocation

14. Return to School

15. Work Life Balance

16. Retirement

17. Temp or Contract Assignment Complete

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* 10. Please fully explain why you are leaving the Academy and everything that contributed to your decision to leave.

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* 11. Please rate the following:

	1 - Poor	2 - Fair	3 - Good	4 - Excellent
Compensation (pay)	Compensation (pay) 1 - Poor	Compensation (pay) 2 - Fair	Compensation (pay) 3 - Good	Compensation (pay) 4 - Excellent
Benefits program	Benefits program 1 - Poor	Benefits program 2 - Fair	Benefits program 3 - Good	Benefits program 4 - Excellent
Physical working conditions	Physical working conditions 1 - Poor	Physical working conditions 2 - Fair	Physical working conditions 3 - Good	Physical working conditions 4 - Excellent
Resources given to employees to do their jobs	Resources given to employees to do their jobs 1 - Poor	Resources given to employees to do their jobs 2 - Fair	Resources given to employees to do their jobs 3 - Good	Resources given to employees to do their jobs 4 - Excellent
Wellness offerings	Wellness offerings 1 - Poor	Wellness offerings 2 - Fair	Wellness offerings 3 - Good	Wellness offerings 4 - Excellent
Recognition given to employees	Recognition given to employees 1 - Poor	Recognition given to employees 2 - Fair	Recognition given to employees 3 - Good	Recognition given to employees 4 - Excellent
Academy's concern with quality and excellence	Academy's concern with quality and excellence 1 - Poor	Academy's concern with quality and excellence 2 - Fair	Academy's concern with quality and excellence 3 - Good	Academy's concern with quality and excellence 4 - Excellent
Recruiting process	Recruiting process 1 - Poor	Recruiting process 2 - Fair	Recruiting process 3 - Good	Recruiting process 4 - Excellent
Initial training	Initial training 1 - Poor	Initial training 2 - Fair	Initial training 3 - Good	Initial training 4 - Excellent
Ongoing training	Ongoing training 1 - Poor	Ongoing training 2 - Fair	Ongoing training 3 - Good	Ongoing training 4 - Excellent
Career growth and development opportunities	Career growth and development opportunities 1 - Poor	Career growth and development opportunities 2 - Fair	Career growth and development opportunities 3 - Good	Career growth and development opportunities 4 - Excellent
Performance feedback	Performance feedback 1 - Poor	Performance feedback 2 - Fair	Performance feedback 3 - Good	Performance feedback 4 - Excellent
Communication processes/keeping employees informed	Communication processes/keeping employees informed 1 - Poor	Communication processes/keeping employees informed 2 - Fair	Communication processes/keeping employees informed 3 - Good	Communication processes/keeping employees informed 4 - Excellent
Open door policy	Open door policy 1 - Poor	Open door policy 2 - Fair	Open door policy 3 - Good	Open door policy 4 - Excellent
Upholding company values	Upholding company values 1 - Poor	Upholding company values 2 - Fair	Upholding company values 3 - Good	Upholding company values 4 - Excellent
Morale overall	Morale overall 1 - Poor	Morale overall 2 - Fair	Morale overall 3 - Good	Morale overall 4 - Excellent
Morale in your division/work group	Morale in your division/work group 1 - Poor	Morale in your division/work group 2 - Fair	Morale in your division/work group 3 - Good	Morale in your division/work group 4 - Excellent
Cooperation among employees and leadership	Cooperation among employees and leadership 1 - Poor	Cooperation among employees and leadership 2 - Fair	Cooperation among employees and leadership 3 - Good	Cooperation among employees and leadership 4 - Excellent
HR was helpful and knowledgeable	HR was helpful and knowledgeable 1 - Poor	HR was helpful and knowledgeable 2 - Fair	HR was helpful and knowledgeable 3 - Good	HR was helpful and knowledgeable 4 - Excellent
Interest in employees	Interest in employees 1 - Poor	Interest in employees 2 - Fair	Interest in employees 3 - Good	Interest in employees 4 - Excellent
Treating employees fairly	Treating employees fairly 1 - Poor	Treating employees fairly 2 - Fair	Treating employees fairly 3 - Good	Treating employees fairly 4 - Excellent

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* 12. The quality of supervision is important to most people at work. How was your relationship with your manager?

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* 13. Please rate the following:

	1 - Poor	2 - Fair	3 - Good	4 - Excellent
Supervisor promptly resolved complaints/concerns	Supervisor promptly resolved complaints/concerns 1 - Poor	Supervisor promptly resolved complaints/concerns 2 - Fair	Supervisor promptly resolved complaints/concerns 3 - Good	Supervisor promptly resolved complaints/concerns 4 - Excellent	Supervisor promptly resolved complaints/concerns
Supervisor treated you lawfully	Supervisor treated you lawfully 1 - Poor	Supervisor treated you lawfully 2 - Fair	Supervisor treated you lawfully 3 - Good	Supervisor treated you lawfully 4 - Excellent	Supervisor treated you lawfully
Supervisor listened to suggestions from employees	Supervisor listened to suggestions from employees 1 - Poor	Supervisor listened to suggestions from employees 2 - Fair	Supervisor listened to suggestions from employees 3 - Good	Supervisor listened to suggestions from employees 4 - Excellent	Supervisor listened to suggestions from employees
Supervisor's leadership qualities	Supervisor's leadership qualities 1 - Poor	Supervisor's leadership qualities 2 - Fair	Supervisor's leadership qualities 3 - Good	Supervisor's leadership qualities 4 - Excellent	Supervisor's leadership qualities
Supervisor encouraged cooperation	Supervisor encouraged cooperation 1 - Poor	Supervisor encouraged cooperation 2 - Fair	Supervisor encouraged cooperation 3 - Good	Supervisor encouraged cooperation 4 - Excellent	Supervisor encouraged cooperation
Supervisor treated you fairly	Supervisor treated you fairly 1 - Poor	Supervisor treated you fairly 2 - Fair	Supervisor treated you fairly 3 - Good	Supervisor treated you fairly 4 - Excellent	Supervisor treated you fairly

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* 14. Do you have another job? If yes, what does it offer that your job with the Academy does not?

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* 15. What did you like BEST about your job and/or the Academy? Please give examples.

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* 16. What did you like LEAST about your job and/or the Academy? Is there anything you would change? Please give examples.

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* 17. Was your workload usually (please check one):

Too great

Varied, but about right

Too light

Other (please specify)

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* 18. What could have been done to encourage you not to leave? Was this made known to your supervisor or Human Resources prior to your decision to leave?

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* 19. What were your reasons for joining the Academy originally?

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* 20. We try to be an employee-oriented organization in which employees experience positive morale and motivation. What is your experience of employee morale and motivation here?

Employee Exit Survey

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* 1. Your Name

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* 2. Today's Date

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* 3. Your Department

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* 4. Your Hire Date

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* 5. Your Last Day Worked

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* 6. Your Direct Supervisor

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* 7. How long have you been considering leaving our organization?

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* 8. What reason below primarily describes your reason for leaving (select one)?

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* 9. Other secondary reason(s) for leaving?

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* 10. Please fully explain why you are leaving the Academy and everything that contributed to your decision to leave.

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* 11. Please rate the following:

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* 12. The quality of supervision is important to most people at work. How was your relationship with your manager?

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* 13. Please rate the following:

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* 14. Do you have another job? If yes, what does it offer that your job with the Academy does not?

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* 15. What did you like BEST about your job and/or the Academy? Please give examples.

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* 16. What did you like LEAST about your job and/or the Academy? Is there anything you would change? Please give examples.

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* 17. Was your workload usually (please check one):

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* 18. What could have been done to encourage you not to leave? Was this made known to your supervisor or Human Resources prior to your decision to leave?

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* 19. What were your reasons for joining the Academy originally?

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* 20. We try to be an employee-oriented organization in which employees experience positive morale and motivation. What is your experience of employee morale and motivation here?

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* 21. Do you think the Academy lives up to the values that have been chosen?

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* 22. If no, which value(s) did we not live up to? How can we change what we are doing to ensure that we do live up to our values?

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* 23. What are 1-2 things we could do to promote a better workplace?

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* 24. Any other comments that you would like to add at this time?