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Online Exit Interview

Please correct the field(s) marked in red below:

We would appreciate your honest and objective opinion of your employment with Wilson County. The information you provide to the interviewer will assist us in keeping Wilson County a better place to work and in analyzing the factors attributing to turnover. Your individual responses will not become a part of your personnel file.
1
 Employee First Name:
 *
2
Employee Last Name:
 *
3
Department:
 *
4
Date of Hire:
 *
5
Supervisor/Manager:
 *
6
Job Title:
 *
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Resignation Date:
 *
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Do we have permission to share your feedback with Management?
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What are your primary reasons for separating from Wilson County? Is your management aware of the reasons for your separation?
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If you are leaving for other employment, where is your new job?
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What is your new position (job title)?
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Is your new rate of pay lower, equal to, or higher than what you were paid here?
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What prompted you to seek other employment?
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What qualifications or skills do you have that were not utilized in your job?
15
Please indicate how you feel about the following topics:
Please indicate how you feel about the following topics:
Favorable Neutral Unfavorable No Opinion
Wilson County Management in General:
Department Management:
16
Immediate Supervisor's Skills:
Immediate Supervisor's Skills:
Favorable Neutral Unfavorable No Opinion
Demonstrated Fair and Equal Treatment:
Provided recognition on the job:
Developed cooperation and teamwork:
Encouraged and listened to suggestions:
Resolved complaints and problems:
Showed professionalism:
Offered feedback on performance:
Overall rating for Immediate Supervisor:
17
Please indicate how you feel about the following topics:
Please indicate how you feel about the following topics:
Favorable Neutral Unfavorable No Opinion
County Services and Programs:
Work Relations with Co-Workers:
Wilson County as a Place to Work:
Salary:
Benefits:
Health Coverage:
Dental Coverage:
Life Insurance:
Disability Insurance:
Educational Assistance:
Opportunity for Growth and Advancement:
Training:
Job Responsibilities:
Working Conditions:
Cooperation within your Department:
Cooperation between Departments:
Workload Stress:
Job Security:
Safety:
Equal Opportunity / Affirmative Action:
Overall Morale:
18
Comments:
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What changes would you make for improvement?
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If Wilson County could do one thing to make you stay, what would it be?
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Additional comments:
22
Please provide your forwarding address below:
Please click Submit when you are finished
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