BYU-Hawaii Human Resources

BYU-H Human Resources Benefits Center

Employee Exit Interview

Date: July 24, 2008			[Print Version]

Name:	(Optional)	Department:
Gender:	Male Female	Position:

Full Time Staff Part-time Staff Temporary Student

Please check on the button to indicate your responses to the following items, using the values:		SD	D	N	A	SA
1= strongly disagree, 2=disagree, 3=neutral, 4=agree, 5=strongly agree.		1	2	3	4	5

1.	I was very satisfied with my department as a place to work.
2.	I knew what was expected of me at work.
3.	I had the materials and equipment I needed to do my work right.
4.	At work, I had the opportunity to do what I do best everyday.
5.	At least once a week, I received recognition or praise for doing good work.
6.	My supervisor or someone at work seemed to care about me as a person.
7.	There was someone at work who encouraged my development
8.	At work, my opinions seemed to count.
9.	The mission/purpose of the department made me feel my job was important.
10.	My fellow workers were committed to doing quality work.
11.	I had a best friend at work.
12.	In the last six months, someone at work talked with me about my progress.
13.	This last year, I had opportunity at work to learn and grow.
14.	My fellow workers valued those with whom they worked and those they served.
15.	My fellow workers embraced sound business principles.
16.	My fellow workers encouraged innovation and continuous improvement.
17.	In my department we strove to build mutually beneficial relationships with other departments.
18.	My supervisor taught me safe working procedures.
19.	My employment helped me prepare for future work.
20.	I would highly recommend my employer to a friend as a place to work.
21	I knew whom to talk with if I had grievances or complaints.

Questions and Comments

Please list three most important things you learned while working for your department.

What could your department do better to meet the needs of the employees?

Please identify changes we could make in the following areas to increase customer satisfaction.

	Products and Services
	Policies and Practices
	Employee Training and Management

What did you like best about working in your department?

What did you like least about working in your department?

Please explain your reason for leaving. If there is more than one, please list in order of importance.

May we share this questionaire with your immediate supervisor?
Yes No

Benefits Forms

	Tuition Benefit Request Form
	DMBA forms

Risk Management Forms

	Vehicle Accident Investigation Form
	Witness Statement Form
	Employee Accident Report
	Facts of Accident
	BYUH Property-Loss Claim Form
	NONBYUH Property-Loss Claim Form
	BYUH Building & Structures Loss-Claim Form
	BYUH Report for Nonwork-Related Injuries

BYU-Hawaii Links