How long have you been an employee? *
Less than 6 months
Between 6 months and 2 years
Between 2 years and 5 years
More than 5 years
* This answer is required.
Which of these factors influenced your decision to leave the organization? *
Salary
Bureaucracy
Benefits
Safety factors
Advancement
Training
Recognition
Work-related injury
Work-related stress
Work-related illness
Retirement
Moving
Supervision
Company Leadership
Other
* This answer is required.
What are the most important reasons for leaving the organization? *
* This answer is required.
What did you like most about your job? *
* This answer is required.
The organization was able to put my skills to good use. *
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
* This answer is required.
I was able to get all the resources needed to do my job successfully at this organization. *
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
* This answer is required.
I was paid well for the work I did for the organization. *
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
* This answer is required.
I was treated fairly by my supervisor. *
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
* This answer is required.
How well did you communicate with your immediate supervisor? *
Not well at all
Extremely well
* This answer is required.
How often did you receive recognition for your work? *
Very often
Often
Sometimes
Seldomly
Never
* This answer is required.
I was treated as a valuable member of the organization. *
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
* This answer is required.
I felt safe at my job. *
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
* This answer is required.
I was kept well informed about the organization's strategy and operations. *
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
* This answer is required.
I was kept well informed about the organization's policies and procedures. *
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
* This answer is required.
On a scale from 1 to 5, how well were you trained in order to perform your job effectively? *
* This answer is required.
How easy was it to balance your working life and personal life during your time at this organization? *
Not easy at all
Very easy
* This answer is required.
On a scale from 1 to 5, how good were the opportunities for professional growth in this organization? *
* This answer is required.
Overall, how satisfied were you with your work at the organization? *
Not at all satisfied
Extremely satisfied
* This answer is required.
Is there anything that you would like to tell the management? *
* This answer is required.
Given an opportunity, what could the organization change that would potentially convince you to stay? *
* This answer is required.
On a scale from 0 to 10, how likely is it you would recommend this organization as a place to work? *
0
1
2
3
4
5
6
7
8
9
10
very unlikely
very likely
* This answer is required.
Are there any additional comments or suggestions you might have to improve this organization? *
* This answer is required.

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