Exit Questionnaire

As an employer, Dartmouth College is committed to a positive work environment for its employees. The Exit Questionnaire provides a valuable source of information to measure our success in reaching that goal. Thank you in advance for your time and efforts in providing us with this valuable feedback. Please be as candid as possible. It is our intent to share your feedback with the individuals who are in a position to consider change based upon your comments. Employee Name (optional) : _____________________________________ Department: ____________________________________________ Managers Name:_____________________________________________ Directors Name:____________________________________ Hire Date:_________________ End-of-Employment Date:________________ General Background Information. (Please circle one number for each of the following
categories.) Most Recent Position: 1. Admin/Managerial; 2. Professional; 3. Administrative Support; 4. Technical; 5. Service & Maintenance; 6. Skilled Trades Length of Service: 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 Affirmative Action Status: A. Racial or Ethnic Group: 1. American Indian/Alaskan Native; 2. Asian/Pacific Islander; 3. Black, not of Hispanic Origin; 4. Hispanic; 5. White, not of Hispanic Origin B. Age Group: 1. Under 30; 2. 30-39; 3. 40-49; 4. 50-59; 5. 60 and over C. Disabled or Veteran: 1. Disabled; 2. Veteran disabled; 3. Vietnam Era Veteran; 4. NA D. Sex: 1. Female; 2. Male Education: 1. Less than high school; 2. High School Diploma or equivalent; 3. Associate's Degree; 4. Bachelor's Degree; 5. Master's Degree; 6. Ph.D. ; 7. Other _____________

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Prior Positions at Dartmouth College: 1. ________________________________________________________________ Position Dept. Length of Time 2. ________________________________________________________________ Position Dept. Length of Time

1. Leaving current position for: ___ A position outside Dartmouth College ___ A position with another department within Dartmouth College ___ Other (please specify) : ___________________________ 2. Reason(s) for leaving current position (check all that apply): __ Child care __ Different type of work __ Salary __ Conflict with other employees __ __ __ __ __ __ Family circumstances Selfemployment Illness or physical condition Commuting distance Quality of supervision Affordable housing __ Moving out of state __ Promotion opportunity __ Lateral opportunity __ Lack of opportunity for advancement

__ Return to school __ Flexible schedule __

__ Unmanageable workload Unable to connect with __ personal interests in Upper Valley __ Scheduling flexibility

Spouse/partner unsuccessful in meeting __ Job security career needs in the Upper __ Valley __ Non work-related personal life

Other:_______________________________________________________ Comment:______________________________________________________ _______________________________________________________________

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For questions 3, 4, 7, 10 and 11, please rate your experience on a scale of 1 to 5, where 1=strongly disagree, 2=somewhat disagree, 3=neither disagree nor agree, 4=somewhat agree and 5=strongly agree 3. Please rate your overall Dartmouth experience:
Neither Strongly Somewhat Disagree Somewhat Strongly Disagree Disagree Nor Agree Agree Agree

I understood how my work fit into the goals of the division I believed that my work was connected to the College mission I received timely, relevant and accurate communications from College leadership I felt a connection to the Dartmouth Community

[1] [1] [1] [1]

[2] [2] [2] [2]

[3] [3] [3] [3]

[4] [4] [4] [4]

[5] [5] [5] [5]

4.a. Please rate your immediate supervisor on the following as it pertains to your individual experience with that person:
Neither Strongly Somewhat Somewhat Strongly Disagree Disagree Disagree Agree Agree Nor Agree

Provided effective leadership to me Served as a resource to me Connected me to College resources Had working knowledge of my job requirements Followed policies and practices Treated me fairly Remained accessible/available to me Provided clear guidance to me related to my job Provided necessary equipment for me to do my job Frequently recognized my personal accomplishments Inspired me to work as a member of the team
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[1] [1] [1] [1] [1] [1] [1] [1] [1] [1] [1]

[2] [2] [2] [2] [2] [2] [2] [2] [2] [2] [2]

[3] [3] [3] [3] [3] [3] [3] [3] [3] [3] [3]

[4] [4] [4] [4] [4] [4] [4] [4] [4] [4] [4]

[5] [5] [5] [5] [5] [5] [5] [5] [5] [5] [5]

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Effectively resolved my concerns and problems Provided me with on the job training Remained open to my suggestions/innovation

[1] [1] [1]

[2] [2] [2]

[3] [3] [3]

[4] [4] [4]

[5] [5] [5]

4.b. Please rate your immediate supervisor on the following as it pertains to your experience with that person but as a member of the team:
Neither Strongly Somewhat Somewhat Strongly Disagree Disagree Disagree Agree Agree Nor Agree

Provided effective leadership to the team Served as a resource to employees Connected employees to College resources Had working knowledge of the teams work requirements Followed policies and practices Treated employees fairly Remained accessible/available to employees Provided clear guidance to the team Provided team recognition on a regular basis Developed cooperation within team and department Effectively resolved team concerns and problems Remained open to team suggestions/innovations

[1] [1] [1] [1] [1] [1] [1] [1] [1] [1] [1] [1]

[2] [2] [2] [2] [2] [2] [2] [2] [2] [2] [2] [2]

[3] [3] [3] [3] [3] [3] [3] [3] [3] [3] [3] [3]

[4] [4] [4] [4] [4] [4] [4] [4] [4] [4] [4] [4]

[5] [5] [5] [5] [5] [5] [5] [5] [5] [5] [5] [5]

Comment:____________________________________________________ _______________________________________________________________ 5. What did you like most about working at Dartmouth?

6. What did you like least?

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7. Within your department or division would you agree that:

Neither Strongly Somewhat Disagree Somewhat Strongly Disagree Disagree Nor Agree Agree Agree

Communications were timely and effective Physical working conditions were appropriate Chances for advancement were present Employees were recognized for their work Professional development opportunities were available I received the tools and information from my department to be effective in my job

[1] [1] [1] [1] [1] [1]

[2] [2] [2] [2] [2] [2]

[3] [3] [3] [3] [3] [3]

[4] [4] [4] [4] [4] [4]

[5] [5] [5] [5] [5] [5]

8. Would you recommend Dartmouth College to a friend as a place to work? __Yes __No If no, please explain:

_______________________________________________________________ _______________________________________________________________ 9. Did your job meet or exceed your expectations (and was it accurately described in the job description and during your interview?) __Yes __No If no, please explain:

_______________________________________________________________ _______________________________________________________________

10. How do you feel about your rate of pay and the employee benefits provided by Dartmouth College?
Neither Strongly Somewhat Somewhat Strongly Disagree Disagree Disagree Agree Agree Nor exit_questionnaire 5/22/08 Page 5 of 8

Agree

Rate of pay for my job was appropriate Number of paid holidays was appropriate Number of paid vacation days was appropriate Retirement plan was appropriate Tuition assistance plan was appropriate Life insurance plan was appropriate Medical/ dental insurance coverage was appropriate Medical/ dental insurance cost was appropriate Number of paid personal days (if applicable) was appropriate AfterHours, lectures, tours, performances were accessible and affordable

[1] [1] [1] [1] [1] [1] [1] [1] [1] [1]

[2] [2] [2] [2] [2] [2] [2] [2] [2] [2]

[3] [3] [3] [3] [3] [3] [3] [3] [3] [3]

[4] [4] [4] [4] [4] [4] [4] [4] [4] [4]

[5] [5] [5] [5] [5] [5] [5] [5] [5] [5]

11. If you relocated to accept a position at Dartmouth, how strongly do you agree:
Neither Strongly Somewhat Disagree Somewhat Strongly Disagree Disagree Agree Agree Nor Agree

College assistance (formal and informal) in acclimating to the Upper Valley was sufficient Timely connections with areas of personal interest (athletic, cultural, spiritual, hobbies) were made available to me Information about and access to family resources in the area were available and sufficient Social connections (Dartmouth and community) were sufficient

[1]

[2]

[3]

[4]

[5]

[1]

[2]

[3]

[4]

[5]

[1] [1]

[2] [2]

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Please indicate if any of these were factors in your decision to accept another position. ________________________________________________________________________ ________________________________________________________________________
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12. In what areas could your Departmental Chair/Director have done a better job? _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ 13. What would you have done differently if you were the manager? _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ 14. Additional comments about your job, department, or Dartmouth College: _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ 15. What did you value most about: Your job:____________________________________________________________ Your department: ________________________________________________ Dartmouth College: ______________________________________________ 16. If you could make one positive change to your job, your department or Dartmouth College, it would be: Your job:___________________________________________________ Your department: ________________________________________________ Dartmouth College: ______________________________________________ 17. What advice would you give to your successor/person filling your role? ______________________________________________________________ ______________________________________________________________ 18. Would you work for Dartmouth College again? Yes __ No __ In the same department Yes __No __ In a different area of the College 19. It is the goal of Dartmouth College to adhere to the highest ethical standards in all
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that it does. During your employment at Dartmouth College, did you observe any activities or behaviors that you considered unethical or that you feel were unsupportive of the Code of Ethical Business Conduct? (http://www.dartmouth.edu/~businessethics/code/) If so, please describe: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Employee Signature (optional) Date

Thank you for your feedback in these areas. Your responses will be shared with those individuals who are in a position to consider changes based upon your comments. We thank you for your contributions to Dartmouth College and we wish you well in your future endeavors. (Print Versions only) Please return this questionnaire in the enclosed postage-paid envelope to Dartmouth College, Attention: Office of Human Resources, 7 Lebanon Street, Suite 203, Hanover, NH 03755.

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