Exit Interview Questionnaire

As an employer, KMBL , Surat is committed to a positive work environment for its employees. The Exit Interview Program provides a valuable source of information to measure our success in reaching this goal. The data obtained from these interviews will be used to enhance our recruitment and retention efforts, and to assess the overall quality of worklife at KMBL. Your responses are confidential to the Office of Human Resources and will not be shared with the department without your permission.

Therefore, we ask that you take a few minutes to complete the questionnaire below. Thank you for your assistance and good luck in your future endeavors.

Part 1: General Background Information. (Please circle one number for each of the
following categories.)

Most Recent Position: 1. Admin/Managerial; 2. Professional; 3. Secretarial/Clerical; 4. Technical; 5. Service & Maintenance; 6. Skilled Trades 1. Affirmative Action Status: A. Age Group: B. Sex: C. Education: 1. Under 30; 2. 30-39; 3. 40-49; 4. 50-59; 5. 60 and over 1. Female 2. Male

1. Less than high school; 2. High School Diploma or equivalent; 3. Associate's Degree; 5. Master's Degree; 7. Other _____________ 4. Bachelor's Degree; 6. Ph.D. ;

2. Length of Service:

y Overall Experience: 1. Less than one year; 2. One but less than two years; 3. Two but less than five years; 4. Five but less than ten years; 5. Ten or more years y Experience with KMBL: 1. Less than one year; 2. One but less than two years; 3. Two but less than five years; 4. Five but less than ten years; 5. Ten or more years

3. Pre & Post Work Duration: A. Post Position before KMBL: i. ___________________________________________________ Position Dept Length of Time ii. ___________________________________________________ Position Dept. Length of Time Department Leaving: __________________________________________________ B. Present Position after KMBL ________________________________________________________________

Part II: ORGANIZATIONAL CLIMATE

Please indicate how you feel about the following by circling the proper number applicable to your most recent position at KMBL. Organization Climate & Culture
Highly Satisfied A. Overall work experience at KMBL B. Perception of the KMBL's overall communication with Employees & Supervisor C. The opportunity to enroll in staff development courses and workshops (Training) D. The job classification system & KRA/KPA/KPI* E. Grade & Designation F. Job related Policies/ Appraisal System. G. OCTAPACE^ 1 Highly Dissatisfied 5

Satisfied 2

Neutral 3

Dissatisfied 4

KRA/KPA/KPI - *Key Result Area/Key Performance Area/Key Performance Indicators OCTAPACE - ^ Openness, Confrontation, Trust, Authenticity, Proaction, Autonomy, Collabration, Experimentation. Part III: Factors Affecting Departure
In deciding to leave your most recent position at KMBL, how did each of the following influence your decision? Please respond by circling one number below for each item.

Factors Affecting Departure

Strong influence to stay A. Work Load & Flexibility of Work Hours B. Relations with coworkers & Supervisor 1 Slight influence to stay 2 Slight influence to leave 4 Strong influence to leave 5

No effect

C. Quality of supervision I received (Concern of Managent about personal problems)

D. Salary & Benefits

E. Geographical location of KMBL & Commuting distance

F. Clarity in Career Progress & Learning Opportunity. (Sufficient/Insufficient) G. Job Profile & Nature of Job

Part IV: (Please indicate your response.)

A. If a friend asked, would you recommend employment at KMBL , Surat? YES / NO

B. Would you work for KMBL again in the future? YES / NO C. In the same department/office you are leaving? YES / NO

Part V: Other Comments

Please use this section to comment further on any work-related experience and to make suggestions to improve the quality of work life at KMBL. (If more space is needed, please attach an additional sheet.)

Are there things we could have done to make your Job more fulfilling:
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