North DakotaDepartment of Agriculture

Exit Interview Questionnaire

rnterviewe n T-nvn ?odr.r',--r

/2- /?- /2 Date:

CaJd
5/
HireDate:
t./ t, I

rerminatio n out", J2-lA I t 7

Program tqanager: 4A-f tl- t-t nf4

Immediate r: Y5 Ufn'!* Superuiso 1. What werethe factors thatoriginally contributed to youraccepting a job withthe Depaftment? yourexpectations Were realized? Was thejob adeouatelv arlequately.descriQed described vou? to you?

2. Whataresome of the factors youremployment that helped to make

about brought

decision to

*l^e"l
take.this newjob?

influenced by any of the to leavethe Department 5. Wasyour decision following? check all thosethat apply: Please Personal reasons Leaving the city at home _ Remain a betterposition Secured Returning to school _ RetirementDissatisfied- Typeof work - workingconditions for advancement Noopportunity Salary X gupervision Locl4trn c) .,-'^"ra d^fr,i, uu\clt_e,.^ u explain) Other(please

6. Whatwasyour opinion of the following: Excellent

() Your salary: Performance appraisals:( ) () Working conditions: () Equipment: () Department morale:

Good

(lc (x)
00
()

Fair
() () () ()

Poor
() () () () ()

(x)

K)

Comments:

job, what does thatjob offeryouthatyourjob If you are goingto another did not?. at the Deoaftment , -fi

On Drn ut t bt-t,'Jo AAch-

in regardto making wouldyou havefor the Department B. Whatsuggestions Haveyoq qade the a betterplacelo worlg?
4-t/1

(['$.var'

t ontn

North Dakota Departmentof Agriculture Exit Interview Questionnaire

r, ha-ht P,nLu Interviewe

Employee:

Datetl^- Ao'l >

ana tyrl Classificationfl-itle: Position ?o\ioV

HireDate: ,1'(o-12 Manager: Program Supervisor: Immediate a job to your accepting contributed that originally 1. Whatwerethe factors job Wasthe realized? Wereyourexpectations with the Depaftment? to You? described adequately

Date: tJ:QJ:I 3 Termination

s.opcaJf ,-'o.-lq\ What are some of the factorsthat helpedto makeyour employment

enjoyable?

the depattment? to leave aboutyourdecision Whatbrought

Whydid you takethis newjob?

5 . was yourdecision to leave the Department influenced by anyof the

following? Please check all those that apply:

Leaving the city Remain at home _ personal reasons Returning to school Retirement_ secured a betterposition 1r _ Dissatisfied conditions _ Typeof work _ Working _ Salary _ Supervision_ No oppodunity for advancement Other(please explain)

6. Whatwasyouropinion of the following: Excellent Yoursalary: Performance appraisals : Working conditions: Equipment: Depaftment morale: Comments:
() () () () ()

Good

Fair
() () () ()

Poor
() () () () ()

00
(\.)

09
()

0c)

(x)

job, whatdoesthatjob offeryou that yourjob 7. If you are goingto another at the Department did not?

what suggestions wouldyou havefor the Department in regard to making tfls a betteroja.ce to work?Haveyou madethe suggerstions in the past?

ru-lrj ev,*/lorl.oS

9. Additional comments:

North Dakota Departmentof Agriculture Exit Interview Questionnaire

n Interuiewer: \Ja.r-q Goe-V.c )^ u^

-

Date: llareA" 7,2a8

Employee:t(nti -

Pfn(e-

Position Classifi cation cb* D,\recTa r /Tftle: I &t,9 A^* 3 . 2ot2 HireDate: Program Manager: Immediate Supervisor: Termination Date: lt
7t 2aQ

1. Whatwerethe factors that originally contributed to youraccepting a job with the Depaftment? Wereyour expectations realized? Wasthe job adequately described to you?
5r'll3+T
I

u*t5 c- ^;ceg;y.{>r_Jept
fi

/?
'rc'r

7d

2. Whatare someof the factors that helped to makeyouremployment enjoyable?

Zz/tfc..2."a.Zfa rut /

3. Whatbrought aboutyourdecision to leave the department?

,/Lcx
r @

Caztftqt
*;cerc:.

)conbt-r/&..otersL,"p
,. -z .dla, Fde .7J6

lze*E,t),V

r.-ab,),y2..

4. Whydid,you takethis newjob?

'rarcya-c, F/enr\br)/,rv _ /enofarflr,\rr rltexEr

by anyof the 5 . Wasyourdecision to leave influenced the Department following? Please check all thosethat apply: _ _ -7 _ Personal reasons Leaving the city at home _ Remain a betterposition Returning Secured to school _ Retirement oissatisfi;d - Typeor work /wo"tJ,ng conditions for advancement Noopportunity Salary --7$upervision Other(please explain)

6. Whatwasyouropinion of the following: Excellent () Yoursalary: Performance appraisals: ( ) () Working conditions: () Equipment: () Depaftment morale:
/?UC5'LR Corn*""- is

Good

Fair
() () ()

Poor
() ()

0.f (-Y
() () ()

Q-Y
()

Q-f
()

VY
4dY ', ilo'o ilaoS*

y'aa

AE]ra-d.,)t<bt /

ca*Pr*

job, whatdoesthat job offeryou that youriob 7. If you are goingto another at the Department did not?

in regard to making 8. Whatsuggestions wouldyou havefor the Depaftment in the past? this a betterplaceto work?Haveyou madethe suggestions
(2*tuts ..f + olefefrmrtrte.{ ,'sl ,ta*er -

Additional comments:

North Dakota Departmentof Agriculture Exit Interview Questionnaire Interuiewer:

Date: )-L-'.-[ S

-lt-)

Employee: \{rdo*- ,2i

Date:-l:]4} Hire
Program Manager:

V"*
jjh oate' rermination 13

l] ivi rto.n Cir c t\ot Position classificationfntte:

Immediate Supervison N..rU L, n*h^ l.,rq

a job to youraccepting contributed that originally 1. Whatwerethe factors job the Was realized? Wereyour expectations with the Department? you? to described adequately

to makeyouremployment that helped Whatare someof the factors

1e.
the department? to leave aboutyour decision 3. Whatbrought

did you takethis newjob?

CtD .nN

I a

by any of the influenced to leavethe Department Wasyour decision check all thosethat apply: Please following? reasons Personal at home Remain the city Leaving a betterposition - Secured to school letirement Returning

Y I -

DGtisnEO -fype of work JWorfing conditions for advancement - Noopportunity Satury l- Superuision (Please explain) Other

of the following: 6. Whatwasyouropinion Excellent

() Your salary: aPPraisals:( ) Performance () conditions: Working () Equipment: () morale: Department

Good
(*)i

Fair
() () ()

Poor
() ()

(*) () () ()

(a
()

Q)
()

v)

Comments:

job, whatdoesthatjob offeryou that yourjob 7. If you are goingto another did not? at the Department

in regardto making wouldyou havefor the Department Whatsuggestions in the past? this a OJtterplaceto work?Haveyou madethe suggestions
)L TJ\$\'lr.IJ Po/Lt DLut

comments: Additional O\-t l(