Name:

Supervisor (optional):

Department:

Position:

Date:

Email:

1. Why are you leaving UNO? You may select more than one.

2. When did you start looking for another job?

3. Why did you start looking for another job?

4. Please explain your reason(s) for leaving in more detail:

5. What suggestions for improvement do you have for us?

6. Would you recommend UNO to your friends as a good place to work?

In this section, please rate the following statements as (strongly agree = 1, somewhat agree = 2, somewhat disagree = 3 or strongly disagree = 4)

7. I believe that I was treated like a valuable member of UNO. -- Select one -- Strongly agree Somewhat agree Somewhat disagree Strongly disagree

8. My immediate supervisor let me know when I was doing a good job. -- Select one -- Strongly agree Somewhat agree Somewhat disagree Strongly disagree

9. I felt free to suggest to my supervisor changes that would improve my department. -- Select one -- Strongly agree Somewhat agree Somewhat disagree Strongly disagree

10. My job duties and responsibilities were clearly defined. -- Select one -- Strongly agree Somewhat agree Somewhat disagree Strongly disagree

11. I received the proper training in order to perform my job effectively. -- Select one -- Strongly agree Somewhat agree Somewhat disagree Strongly disagree

12. Employee problems and complaints were resolved fairly and promptly in my department. -- Select one -- Strongly agree Somewhat agree Somewhat disagree Strongly disagree

13. If I had questions or concerns, I felt comfortable speaking with:

My immediate supervisor. -- Select one -- Strongly agree Somewhat agree Somewhat disagree Strongly disagree

Upper management. -- Select one -- Strongly agree Somewhat agree Somewhat disagree Strongly disagree

Human Resources. -- Select one -- Strongly agree Somewhat agree Somewhat disagree Strongly disagree

14. I was kept well informed about UNO, its policies and procedures, and other important information. -- Select one -- Strongly agree Somewhat agree Somewhat disagree Strongly disagree

15. I felt that UNO provided me with job security. -- Select one -- Strongly agree Somewhat agree Somewhat disagree Strongly disagree