Online Exit Questionnaire

Thank you for your contributions to the University of Memphis! Upon your departure, I hope you will consider yourself as a part of the University’s extended family. I am interested in your assessment of the University of Memphis, and I ask that you complete this form to help us evaluate the University in its role as a leading, local employer. This form will not become a part of your employee record and will be used for analytical purposes only. I wish you well.

Shirley C. Raines
President

Section 1: Employee Data

Position/Title		Department Name

Type of Employment

How were you recruited to work at The University of Memphis?
		If "Other," please specify:


Section 2

What is your primary reason for leaving?
		If "Other," please specify:

Section 3

Please use the following scale to rate the University's performance: 5= Very Satisfied 4= Satisfied 3= Neither Satisfied nor Dissatisfied 2= Dissatisfied 1= Very Dissatisfied

Working Conditions
Safe/Adequate Work Space
Tools/Equipment/Supplies for Job
Pleasant Working Environment
Support of Immediate Supervisor
Support of Upper Management
Fair and Unbiased Treatment
Communication from Management
Communication to Management

Training and Development
New Employee Orientation
On-the-Job Training
Opportunities for Advancement
Professional Development Opportunities
Opportunity to Use Education and Experience

Compensation and Benefits
Pay for Assigned Responsibilities
Benefits Package

Summary
You may use the following space to write any recommendations or additional comments about employment at The University of Memphis.


Name (optional)		Date