Name: ______________________________________________ Date: _____/_____/_____ Position(s)? ________________________________________________________________ We would appreciate it if you would take a few minutes to respond to the questions below. Thank you. Why are you leaving? _______________________________________________________ _________________________________________________________________________ Would you describe your working relationship (with respect to both your particular job and your relationship with fellow workers) as pleasant or unpleasant? _________________________________________________________________________ Did you feel that your job was important/significant to the overall operation of XXX? Yes No Did you feel recognized by your supervisor and/or peers for your accomplishments? Yes No Are there any particular practices or working conditions that either led to your decision to resign or that you feel are detrimental […]

