*Access Code is listed above your name on the postcard address label.

Items marked with * are required.

1

Your Information

 *

Your Information

Access Code *

Name *

Department

Supervisor Name *

2

Was your decision to leave influenced by any of the following? (Check all that apply)

 *

Was your decision to leave influenced by any of the following? (Check all that apply)

Other Employment

Type of Work

Health

Supervision

Return to School

Benefits/Rate of Pay

Retirement

Involuntary Resignation

Discrimination

Comments on Decision:

3

How would you rate the physical working condition in the department in which you worked

How would you rate the physical working condition in the department in which you worked

Excellent

Good

Fair

Poor

4

How would you rate the equipment in the department in which you worked?

How would you rate the equipment in the department in which you worked?

Excellent

Good

Fair

Poor

5

Was your workload usually (fill in the blank with the choices listed below):

Was your workload usually (fill in the blank with the choices listed below):

Excellent

Good

Fair

Poor

6

Did you feel your chances for advancement were:

Did you feel your chances for advancement were:

Excellent

Good

Fair

Poor

7

What did you like most about your job or department?

 *

What did you like most about your job or department?

8

What did you like most about working for the City of Enid?

 *

What did you like most about working for the City of Enid?

9

What did you like least about your job or department?

 *

What did you like least about your job or department?

10

What did you like least about working for the City of Enid?

 *

What did you like least about working for the City of Enid?

11

How did you feel about your rate of pay?

How did you feel about your rate of pay?

Excellent

Good

Fair

Poor

12

How did you feel about employee benefits?

How did you feel about employee benefits?

Excellent

Good

Fair

Poor

13

Would you recommend a friend that they seek employment with the City of Enid?

Would you recommend a friend that they seek employment with the City of Enid?

Yes

No

14

Would you recommend a friend that they seek employment within your department?

Would you recommend a friend that they seek employment within your department?

Yes

No

15

Could anything have been done to prevent your leaving?

 *

Could anything have been done to prevent your leaving?

16

Have you secured another job?

Have you secured another job?

Yes

No

17

How does your new job compare with the City of Enid?

 *

How does your new job compare with the City of Enid?

18

Additional Comments

 *

Additional Comments

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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