Exit Interview Questionnaire

We would appreciate your taking the time to answer the following questions as honestly as possible. Your individual responses are treated as confidential and will not become part of your personnel file. We believe that the information is of vital importance and will assist in analyzing the factors attributing to turnover.

Thank you for your cooperation.

Division of Human Resources

Employment Start Date
Employment End Date:
Department Name:
Manager's Name:
Reason for leaving-select only one. Lack of Advancement/ Challenge/ Recognition Problem with Supervisor/ Manager Problem with Co-Worker Personal/ Family Reasons Compensation/ Benefits Better Career Opportunity Termination Pursuit of Degree Retirement Other: Please explain:
Did you consider applying for another department? Yes No Where you aware of this possibility? Yes No
Would you recommend GW to a friend as a place to work? Yes No Would you consider re-applying to the University for employment at a later date? Yes No
(Please answer the following questions with regards to your immediate supervisor/manager.) Demonstrated fair and equal treatment Almost Always Usually Sometimes Never Provided recognition on the job when appropriate Almost Always Usually Sometimes Never Developed teamwork and cooperation Almost Always Usually Sometimes Never Encouraged and listened to suggestions Almost Always Usually Sometimes Never Communicated effectively Almost Always Usually Sometimes Never Efficiently utilized department to accomplish University goals/mission Almost Always Usually Sometimes Never Resolved complaints and problems Almost Always Usually Sometimes Never Discussed/encouraged your career goals Almost Always Usually Sometimes Never Conducted performance reviews/ discussions annually or as needed Almost Always Usually Sometimes Never Followed University policies and practices Almost Always Usually Sometimes Never
(Please answer the following questions with regards to your job.) Cooperation/communication within your department Excellent Good Fair Poor Cooperation/communication within GW as a whole Excellent Good Fair Poor Training received/ ability to attend relevant training when requested Excellent Good Fair Poor Feedback received regarding your performance Excellent Good Fair Poor Potential for career growth Excellent Good Fair Poor Opportunity for advancement Excellent Good Fair Poor Compensation equitable for job performed Excellent Good Fair Poor Benefits received Excellent Good Fair Poor
Additional comments about your job and/or the University: Thank you very much for completing this questionnaire. We wish you success in your future endeavors.