Confidential Exit Interview

Confidential Exit Interview

We would appreciate you taking a few minutes to complete this form as honestly as possible. Your responses are confidential and will not become a part of your personnel file. We believe the information is of vital importance in analyzing the factors attributing to turnover within our school district. Most importantly, thank you for being a member of the Bridgeton Public School staff and please accept our best wishes for success in your future endeavors.
1.Employee Name:
2.Position/Title/Location:
3.Supervisor's Name:
4.Hire Date:
5.Last Day of Employment:
6.Board Approval Date:
7.Reason for Leaving (What prompted you to seek alternative employment?):
8.Rate your supervisor on the following:
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Demonstrated fair and equal treatment.
Provided recognition on the job.
Developed cooperation and teamwork.
Encouraged/listened to suggestions.
Effectively resolved complaints/problems.
Followed policies and practices.
Provided appropriate review of job requirements.
9.Rate how you feel about your rate of pay and the employee benefits provided:
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Base salary.
Paid holidays and vacation days.
Paid sick leave plan.
Retirement plan.
Life insurance plan.
Educational credit reimbursement plan.
Medical, dental, and vision insurance plans.
10.How would you rate the following in relation to your job?
Poor
Needs improvement
Neutral
Good
Excellent
Communication within your department.
Communication with other departments.
Communication with your supervisor.
Communication within the district.
Physical working conditions.
Morale in your department.
Opportunity for advancement.
Training you received.
11.What were your feelings about the performance review process?
12.What did you like most about your job?
13.What did you like least about your job?
14.What does your new job offer that this district does not?
15.Before deciding to leave, did you check into options that would enable you to stay?
16.Do you have any suggestions for the district's improvement?
17.If you have suggestions for improvement, did you present them to your supervisor? If yes, what happened?
18.Did you feel challenged at work?
19.Would you recommend working in our district to a friend? If no, please explain.
20.Do you have any additional comments about your job, department, or the district? If so, please add your comments.