DLS Exit Interview Questionnaire

We would appreciate if you would take a few minutes to answer the following questions as honestly as possible. Your individual responses are treated confidential. We believe that this information is of vital importance to assist in analyzing our employees to help with retention, turnover and to make Discovery Life Sciences the best version of itself. Thank you for your cooperation!

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* 1. Please complete the following

Name

Position Title

Department

Manager

Hire Date

Termination Date

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* 2. What is your primary reason for leaving the company?

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* 3. If you have another job, what prompted you to seek other employment opportunities?

Type of Work

Compensation

Benefits

Company Culture

Lack of Recognition

Quality of Supervisor

Work Conditions

Family Circumstances

Career Advancement Opportunities

Other

Other (please specify)

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* 4. Before making your decision to leave, did you investigate other options to enable you to stay?

Yes

If yes, please explain:

In the next section you will complete a ranking system based on questions in regards to your supervisor, please rate your answers between rarely, sometimes, often.

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* 5. Demonstrated Fair and Equal Treatment?

Rarely

Sometimes

Often

Rarely

Sometimes

Often

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* 6. Provided recognition on the Job?

Rarely

Sometimes

Often

Rarely

Sometimes

Often

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* 7. Developed cooperation and teamwork?

Rarely

Sometimes

Often

Rarely

Sometimes

Often

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* 8. Encouraged/listened to suggestions?

Rarely

Sometimes

Often

Rarely

Sometimes

Often

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* 9. Resolved complaints and problems?

Rarely

Sometimes

Often

Rarely

Sometimes

Often

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* 10. Followed policies and practices?

Rarely

Sometimes

Often

Rarely

Sometimes

Often

In this section please rate the following questions by selecting Poor, Fair, Good Excellent.

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* 11. In relation to your role how was:

	Poor	Fair	Good	Excellent
Cooperation in your department?	Cooperation in your department? Poor	Cooperation in your department? Fair	Cooperation in your department? Good	Cooperation in your department? Excellent
Cooperation with other departments?	Cooperation with other departments? Poor	Cooperation with other departments? Fair	Cooperation with other departments? Good	Cooperation with other departments? Excellent
Communication in your department?	Communication in your department? Poor	Communication in your department? Fair	Communication in your department? Good	Communication in your department? Excellent
Communication within the company as a whole?	Communication within the company as a whole? Poor	Communication within the company as a whole? Fair	Communication within the company as a whole? Good	Communication within the company as a whole? Excellent
Communication between you and your manager?	Communication between you and your manager? Poor	Communication between you and your manager? Fair	Communication between you and your manager? Good	Communication between you and your manager? Excellent
Morale in your department?	Morale in your department? Poor	Morale in your department? Fair	Morale in your department? Good	Morale in your department? Excellent
Overall job satisfaction?	Overall job satisfaction? Poor	Overall job satisfaction? Fair	Overall job satisfaction? Good	Overall job satisfaction? Excellent
Training you received?	Training you received? Poor	Training you received? Fair	Training you received? Good	Training you received? Excellent
The growth potential?	The growth potential? Poor	The growth potential? Fair	The growth potential? Good	The growth potential? Excellent

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* 12. How did you feel about the following:

	Poor	Fair	Good	Excellent
Base Salary?	Base Salary? Poor	Base Salary? Fair	Base Salary? Good	Base Salary? Excellent
Employee Benefits?	Employee Benefits? Poor	Employee Benefits? Fair	Employee Benefits? Good	Employee Benefits? Excellent
Paid Time Off?	Paid Time Off? Poor	Paid Time Off? Fair	Paid Time Off? Good	Paid Time Off? Excellent
Medical/Dental Plan?	Medical/Dental Plan? Poor	Medical/Dental Plan? Fair	Medical/Dental Plan? Good	Medical/Dental Plan? Excellent
Vision Plan?	Vision Plan? Poor	Vision Plan? Fair	Vision Plan? Good	Vision Plan? Excellent
Life Insurance?	Life Insurance? Poor	Life Insurance? Fair	Life Insurance? Good	Life Insurance? Excellent
Short/Long Term Disability	Short/Long Term Disability Poor	Short/Long Term Disability Fair	Short/Long Term Disability Good	Short/Long Term Disability Excellent
Simple/401K Plan	Simple/401K Plan Poor	Simple/401K Plan Fair	Simple/401K Plan Good	Simple/401K Plan Excellent

Are there any other benefits that should be offered? If Yes, please explain.

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* 13. What were your feelings about the Performance Review Process?

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* 14. How often did you receive performance based feedback?

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* 15. How frequently did you discuss your career goals with your manager?

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* 16. What did you like best about your job and/or DLS?

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* 17. What did you like least about your job and/or DLS?

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* 18. What does your new job/company offer you that DLS does not?

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* 19. Why is the new job/company better?

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* 20. Would you recommend Discovery Life Sciences to a friend as a place to work?

Yes

Other (please specify)

DLS Exit Interview Questionnaire

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* 1. Please complete the following

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* 2. What is your primary reason for leaving the company?

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* 3. If you have another job, what prompted you to seek other employment opportunities?

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* 4. Before making your decision to leave, did you investigate other options to enable you to stay?

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* 5. Demonstrated Fair and Equal Treatment?

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* 6. Provided recognition on the Job?

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* 7. Developed cooperation and teamwork?

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* 8. Encouraged/listened to suggestions?

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* 9. Resolved complaints and problems?

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* 10. Followed policies and practices?

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* 11. In relation to your role how was:

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* 12. How did you feel about the following:

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* 13. What were your feelings about the Performance Review Process?

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* 14. How often did you receive performance based feedback?

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* 15. How frequently did you discuss your career goals with your manager?

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* 16. What did you like best about your job and/or DLS?

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* 17. What did you like least about your job and/or DLS?

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* 18. What does your new job/company offer you that DLS does not?

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* 19. Why is the new job/company better?

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* 20. Would you recommend Discovery Life Sciences to a friend as a place to work?

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* 21. Any additional information you would like to share?