In our ongoing efforts to improve the culture of the church and the work environment of our staff we know that your input is necessary. As a valued employee we ask that you please answer the questions in this survey as honest and specific as possible.
Know that we value your feedback and it is very important to us that you are given an opportunity to candidly share your experience on staff here at Calvary Chapel Melbourne. 

We recommend that you set aside 15 -20 minutes to complete this survey. Please submit this before your Exit Interview with Staff Care. 

Thank you in advance for your input.

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* 1. What is your first and last name?

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* 2. What department do you work in?

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* 3. What is your job role?

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* 4. When will be your last day working?

Date

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* 5. Who is your immediate supervisor?

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* 6. Was your decision to leave working at Calvary Chapel influenced by any of the following? Please mark all that apply.

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* 7. Was your decision to leave working at Calvary Chapel influenced by any of the following? Please mark all that apply. DISSATISFIED DUE TO: