SOP 104.16-att-1: GDC Exit Questionnaire Form

IVO03-0010 (104.16)

Attachment 1

03/31/15
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# _GEORGIA DEPARTMENT OF CORRECTIONS_ _EXIT QUESTIONNAIRE_

Date____________
Job Title______________________ Name (optional)______________________________________________

Work Location____________ Years/months in Current Job______ Years/months with GDCorrections______

Age (Optional): Under 25 25-29 30-34 35-39 40-44 45-49 50-54 55 or over.

Gender (Optional): Male Female

Ethnicity (Optional): African-American Asian-Pacific Islander Native American Caucasian Other

Education (Please check one): High School/GED Technical School Some College, no degree
Bachelors Degree Masters Degree PhD, MD, JD, DDS, DDM, etc. Associates Degree

|Please check one):|Col2|
|---|---|
|
Not Corrections)|

|

Type of Termination ( Please check one ): Retirement Transfer within Department Other Transfer (State Job)
Resignation Termination

Please check all that apply to your new job:

|Col1|O|
|---|---|
|||

Higher Pay (less than 10 % higher) Higher Pay (10% or higher) Better Working Conditions
Better Opportunities for Advancement Closer to Home Less Overtime Better or More Regular Hours
More in Line with Education/Experience

Please answer the following questions about your experience working with the Georgia Department of Corrections:
Always Frequently Sometimes Seldom Never
Workload was too heavy………………………………………
Workload was too light……………………………………….
Work was challenging………………………………………...
Work was boring……………………………………………...
Work was exciting…………………………………………….
Work was frustrating…………………………………………
I received adequate training for my job……………………….
My supervisor gave me clear instructions……………………
I understood what I was expected to do………………………
When I had questions, I was able to get timely answers……...
Management kept me informed about changes affecting me….
My supervisor handled work problems satisfactorily………….
Performance Management Forms were explained to me………
Performance Management Forms were fair and helpful……….
I felt any complaints I had were handled satisfactorily………..
Safety precautions were followed at my work site…………….
I felt safe at work………………………………………………
I understood policies and procedures I was expected to follow..

IVO03-0010 (104.16)

Attachment 1

03/31/15
Page 2 of 2

My coworkers and I worked well together…………………….
My supervisor was fair and objective………………………….
My supervisor was willing to listen……………………………
My supervisor asked for my input on things that affected me…
Please check the items that you considered to be the best things about your experience with the Georgia Department
of Corrections (choose all that apply):

Work location Availability of paid leave Retirement benefits Health insurance
Co-workers Promotional opportunities Type of work Training
Supervision received Doing worthwhile work Work environment Work challenge
Job security Feeling rewarded for my effort Work variety Chance to learn
Career growth Being in Law Enforcement Work schedule Fair treatment
Entry salary Frequency of pay increases Being part of team Other___________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Please check the items that you considered to be the worst things about your experience with the Georgia
Department of Corrections (Choose all that apply):

Work location Availability of paid leave Retirement benefits Health insurance
Co-workers Promotional opportunities Type of work Training
Supervision received Doing worthwhile work Work environment Work challenge
Job security Feeling rewarded for my effort Work variety Chance to learn
Career growth Being in Law Enforcement Work schedule Fair treatment
Entry salary Frequency of pay increases Being part of team Other___________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
What were the things that most influenced to your decision to end your employment with the Department of
Corrections? (Please check all that apply.)

Poor working conditions Lack of training opportunities Too far from home Poor benefits
Bad work schedule Problem with childcare Family problems Work stress
Work too dangerous Lack of promotion opportunities Poor work hours/shifts Burnout
Lack of career growth Too long between pay increases Pay increases too small Moved away
Wanted to go to school Change in family situation Too much overtime Low pay
Unfriendly co-workers Health reasons Joining military Poor supervision
Disliked type of work Work different from expected Heavy workload Better job offer
Unlawful harassment or discrimination (please explain)______________________________________________
_____________________________________________________________________________________________

Other (please explain)_________________________________________________________________________
_____________________________________________________________________________________________
Please rate the following items: Poor Fair Average Good Excellent
Entry salary
Orientation to my job
Pay relative to work effort
On-the-job-training
Safety at work site
Time off
Working conditions
Retirement plans
Health Insurance
Promotional opportunities

Would you consider working for the Georgia Department of Corrections again in the future? Yes No
Comments:____________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
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