Exit Interview in Word document

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UNIVERSITY OF MINNESOTA
Duluth Campus
Department of Human Resources & Equal Opportunity
255 Darland Administration Building
1049 University Drive
Duluth, MN 55812
Office: 218-726-7161
Fax: 218-726-7505
Dear Exiting UMD Employee,
You are invited to participate in the Employee Exit Interview. Your responses will be strictly confidential.
University of Minnesota Duluth would like to better understand what UMD employees value most of their
workplace and why they leave.
This Exit Interview allows you to provide constructive feedback which can be helpful to UMD and the remaining
employees. We would very much appreciate your honest responses to the questions about your experience at UMD.
Thank you.
UMD Human Resources & Equal Opportunity
Today’s Date:
Q1. If you feel comfortable sharing the information, please provide the following: (optional)
Name _________________________________
Department _____________________________
Final Work Date _________________________
Are you: Faculty__ P&A__ Civil Service Non-Bargaining Staff__ Civil Service Bargaining Staff__
Phone # _______________________ where you may be contacted if you would like to speak with a
UMD HR&EO representative
EXIT INTERVIEW
Q2. Please indicate if any of the following are reasons that influenced your decision to leave UMD.










Benefits
Better job opportunity
Commute
Conflict with other employees
Conflict with management
Family/personal circumstances
Career change
Job expectations
Not challenging/my skills are not used
No opportunity for advancement/feel that
my skills/abilities were not fully being utilized









Wages
Work load
Relocation/Move
Return to school
Working conditions
Layoff, non-renewal, etc.
Retirement
Termination
Other _______________________________
1
Q3. If your reason for leaving UMD is a new job, please specify (optional)
What is the name of your new employer and location? _______________________________________
What is your new title/position? ______________________________
Is your new rate of pay lower than , equal to , or higher than what you were paid at UMD?
Q4. Which represents how you feel about Goal 2 of the UMD Strategic Plan http://www.d.umn.edu/chancellor/climate/definitions.html
The climate at UMD as positive and inclusive by advancing
equity, diversity, and social justice
Satisfied
G
Neutral
G
Dissatisfied
G
G
G
G
The climate in the Duluth community and/or the community
where you live as positive and inclusive by advancing equity,
diversity, and social justice
Q5. What did you like best about working at UMD?
Q6. What did you like least about working at UMD?
Q7. Would you work at UMD again? Yes G No G
Please explain.
Q8. What changes would you make to improve your work group at UMD if you were managing it?
Q9. Did you receive your performance appraisals on time during your employment at UMD? Yes G No G
Please explain whether they were helpful or not.
Q10. Were there opportunities for career advancement? Yes G
Please explain.
2
No G
Q11. Do you feel you were kept informed with respect to University policies and procedures? Yes G
No G
Please explain.
Q12. Check which best expresses how you feel about YOUR JOB
Satisfied
Neutral
Dissatisfied
1. Training you received
G
G
G
2. Opportunity to use your abilities and skills
G
G
G
3. Opportunity to do challenging and interesting work
G
G
G
4.
G
G
G
5. Recognition for work
G
G
G
6. Amount of responsibility you were given
G
G
G
7. Your pay
G
G
G
Work load
Q13. Check which best expresses how you feel about COMMUNICATIONS, POLICIES AND PRACTICES
Satisfied
Neutral
Dissatisfied
1. Information you received on University policies,
procedures & practices
2. Information you received on Departmental policies,
procedures & practices
3. Salary Review policies, procedures & practices
G
G
G
G
G
G
G
G
G
4. Performance Review policies, procedures & practices
G
G
G
5. Opportunities for promotion/advancement
G
G
G
6. Opportunities to participate in decision-making
G
G
G
7. Reception of new ideas
G
G
G
3
Q14. Check which best expresses how you feel about YOUR SUPERVISOR AND WORKING ENVIRONMENT
Satisfied
Neutral
Dissatisfied
2. Your supervisor's awareness and understanding of your
issues
3. Your supervisor's interest in your career development
G
G
G
G
G
G
4. Your supervisor's review of your performance
G
G
G
5. The communication among your colleagues/co-workers
G
G
G
6. The cooperation among your colleagues/co-workers
G
G
G
1. Your supervisor's qualities as a Manager
Q15.Check which best expresses how you feel about your WORKING CONDITIONS AND BENEFITS
Satisfied
Neutral
Dissatisfied
2. Sick leave
G
G
G
3. Vacation policy
G
G
G
3. Time off for personal needs
G
G
G
4. Employee benefits
G
G
G
5. Physical working conditions
G
G
G
6. Adequate technology and support
G
G
G
7. UMD as a place to work
G
G
G
1. Work hours
Q16. Please use the space below for additional comments.
4
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