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* 1. Please select the reason the reason you are ending employment with the City of Richmond:

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* 2. If you selected "Other" for question 1, please explain.

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* 3. Please select any of the following factors that contributed to your decision to end employment:

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* 4. If you selected "Other" for question 3, please explain. 

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* 5. Please rate you Immediate supervisor _1-Poor 2-Fair 3-Good 4-Excellent) on a the following areas:

  1 2 3 4 Not applicable 
Provide clear job duties and expectations
Followed policies and procedures
Demonstrated job knowledge
Resolved complaints and problems
Communicated well with employees
Demonstrated fair and equal treatment
Promoted cooperation and teamwork
Encouraged and listened to suggestions
Demonstrated trustworthiness
Offered opportunites for training and development
Provided appropriate job recognition

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* 6. Please provide any additional comments on your experience with your supervisor (optional).

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* 7. Please rate your department's management team (1-Poor 2-Fair 3-Good 4-Excellent) on the following areas:

  1 2 3 4 Not Applicable
Provided clear departmental vision and mission
Followed policies and procedures
Demonstrated approachability
Promoted cooperation and teamwork
Encouraged and listened to suggestions
Demonstrated fair and equal treatment
Demonstrated trustworthiness
Offered opportunites for training and development

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* 8. Please provide any additional comments on your experience with your department's management team (option).

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* 9. Please rate your co-workers (1-Poor 2-Fair 3-Good 4-Excellent) on the following areas:

  1 2 3 4 Not Applicable
Demonstrated competency/ Job knowledge
Followed policies and procedures
Demonstrated trustworthiness
Demonstrated approachability
Promoted cooperation and teamwork

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* 10. Please provide any additional comments on your experience with your co-workers (option).

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* 11. How specific were your job duties presented to you upon your hiring?

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* 12. Please provide any additional comments on the way your job was presented to you when you were hired (optional)

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* 13. Please rate your current benefits (1-Poor 2-Fair 3-Good 4-Excellent)

  1 2 3 4 Not Applicable
Paid Holidays
Retirement Plan
Life Insurance
Medical Insurance 
Sick leave
Vacation Leave
AFLAC (Supplemental Benefit)
GRTC Ridefinders (Supplemental Benefit)
LEGAL Resources (Supplemental Benefit)

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* 14. Please provide any additional comments on your benefits package while employed with the City of Richmond (optional).

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* 15. Please rate your employment experience with the City of Richmond overall on the following areas (1-Poor 2-Fair 3-Good 4-Excellent)

  1 2 3 4 Not Applicable
Selection process for your position
Offering fair and competitive salaries
Resolving employee complaints
New employee orientation
Employee development through training
Opportunity for advancement
Telework
Alternative work schedule
Employee recognition

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* 16. Please provide any additional comments on your overall experience  while employed with the City of Richmond (Optional).

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* 17. Age

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* 18. Race/Ethnicity

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* 19. Gender

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* 20. Please select your department.

If your division reports directly to the Chief Administrative Officer or a Deputy Chief Administrative Officer, Select "CAO & DCAO Direct Reports".

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* 21. Would you like a representative from Human Resources to contact you to discuss any of your responses to this questionnaire? 

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* 22. If you answered "Yes" to question 24, please provide your name and contact information.

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* 23. Length of employment

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* 24. The name of you supervisor (optional)

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* 25. Your current division (optional).

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* 26. Your current job title (optional).

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