INDIANA STATE UNIVERSITY
EMPLOYMENT EXIT INTERVIEW QUESTIONNAIRE
GENERAL INFORMATION
1. Your most recent Indiana State University employment status was:
Administrative / Professional Staff Support Staff Faculty
2. You were employed as:
Full-time Part-time
3. How long were you employed at Indiana State University? Years
4. Are you: Female Male
5. Are you a member of a racial minority? Yes No
6. Are you 40 years of age or older? Yes No
7. Do you have a physical or mental disability? Yes No
8. What was the primary reason you left/are leaving employment at Indiana State University?
A. To accept another position
B. Family relocation
C. Position was visiting/temporary appointment
D. Personal (i.e., medical) or family reasons
E. Child care responsibilities
F. Retirement:
Regular
Occupational disability
Non-occupational disability
Other, please explain:
G. Low salary
H. Unethical conduct occurring in the workplace
Race
Sex
Age
National Origin
Religion
Sexual Harassment
Disabling Condition
I. Sexual Preference
J. Job Stress
K. Lack of opportunity for advancement
L. Terre Haute / rural Indiana (regional limitations)
M. Other (please describe)
9. Do you feel that your termination was:
Voluntary Involuntary By Mutual Agreement
10. If you have accepted a new position elsewhere, please check the
A. Promotion or professional advancement
B. Better salary
C. Better fringe benefits
D. Better working conditions/environment
E. More professional opportunities
F. Better geographical location
G. Career change
H. Other (please describe):
DEPARTMENTAL INFORMATION
11. Were you given adequate training or orientation to do your specific job responsibilities?
Yes No
If no, what could have been done to improve your orientation to your specific job responsibilities?
12. How well were you kept informed of relevant policies, procedures and information?
Very well Adequately Not very well
13. How challenging was your job?
Very challenging Somewhat challenging Not very challenging
14. In general, how fair did you feel your ideas and opinions were accepted in your department?
Very fair Somewhat fair Almost never
15. If you had suggestions or complaints, did you feel free to discuss them with your supervisor?
Almost always Sometimes Almost never
16. How valued did you feel your ideas and opinions were in your department?
Highly valued Somewhat valued Not valued
17. How much support did you feel you received from your colleagues and co-workers in your position?
A great deal Some Very little
18. If you were on the faculty (in the tenure track), do you feel the promotion and tenure system was applied fairly in your case?
If no, please explain
19. How satisfied were you with your overall working conditions in your department?
Very satisfied Somewhat satisfied Not very satisfied
UNIVERSITY-WIDE INFORMATION
20. How well were you kept informed on current university policies?
21. Do you feel the University provided opportunities for advancement?
If so, were these opportunities made available to you?
Yes No Not Necessary
22. How satisfied were you with your overall working conditions within the University as a whole?
23. Do you feel that you were paid fairly for the job you performed:
Compared to others in your department? Yes No
Compared to comparable positions at the University? Yes No
Compared to others in your profession? Yes No
If no, please explain:
24. How would you rate the University’s healthcare benefits program?
Excellent Fair Poor
What changes would you recommend?
25. How would you rate the University’s educational benefits program?
26. Did you take advantage of the educational benefits? Yes No
If no, why not?
27. How would you rate the University overall as a place to work?
28. What were the
29. How could your working conditions have been improved?
30. What were the
31. Would you consider working again at Indiana State University in the future?
32. Would you recommend Indiana State University to your friends or colleagues as a place of employment?
33. Any additional comments would be welcomed.
Name (optional)
Department (optional)
If you wish to share additional comments through a confidential interview, please contact Human Resources at 812-237-4114 to arrange a meeting with the Executive Director of Human Resources or one of his/her constituents.
This questionnaire is being used to obtain information about your experiences at Indiana State University. Please be open and honest so that we may better serve our employees in the future.
