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Exit Interview Survey

  1. CityLogo.jpg

  2. EXIT SURVEY

  3. We appreciate you taking time to answer all the questions of this short survey. 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 our employee retention and turnover. You may include additional comments, as we value your feedback. If you have questions or would like an appointment, call the Human Resources office at 479-621-1117. Thank you for your time and service to the City of Rogers, Arkansas!

  4. Job Status*

  5. Years of Service*

  6. Rate you overall job satisfaction.

  7. Which of the following influenced your decision to end employment with City of Rogers? (Mark all that apply.)

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

  9. Would you recommend City of Rogers to a friend as a place to work?

  10. Rate City of Rogers - PAY / SALARY

  11. Rate City of Rogers - BENEFITS PACKAGE

  12. Rate City of Rogers - WORKING CONDITIONS

  13. Rate City of Rogers - TRAINING & DEVELOPMENT

  14. Rate City of Rogers - JOB ASSIGNMENTS

  15. Rate City of Rogers - CONCERN FOR EMPLOYEE WELL-BEING

  16. Rate City of Rogers - COMMUNICATION WITH EMPLOYEES

  17. How often did your supervisor demonstrate fair and equal treatment to staff?

  18. Did your supervisor resolve staff complaints and grievances?

  19. When did your supervisor request staff feedback?

  20. How often did your supervisor schedule staff training or development activities?

  21. How frequent was your supervisor's communication style professional and easy to understand?

  22. When did your supervisor miss opportunities to recognize staff contributions or achievements?

  23. Did your supervisor regularly evaluate your performance fairly?

  24. When did your supervisor attempt to boost staff morale and team work?

  25. Consent for Release of Employment Information

    I hereby authorize City of Rogers to release any information regarding my services, attendance and character while employed at the facility to an employer with whom I subsequently apply for a job. Further, I do hereby unconditionally release City of Rogers from all liability for any damage whatsoever which might result from furnishing same.

  26. DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE CONSENT STATEMENT.

    I certify that I have read, fully understand and accept all terms of the foregoing Consent Statement.

  27. Leave This Blank:

  28. This field is not part of the form submission.