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Dimmitt ISD Exit Report
To be completed by Dimmitt ISD employees leaving employment.
* Indicates required question
Email
*
Your email
Name
*
Your answer
Date
*
Enter your ending date of employment.
MM
/
DD
/
YYYY
Campus
High School
Middle School
Richardson Elementary
First Steps
Admin Office
Child Nutrition
Maintenance
Transportation
Clear selection
Position
*
Choose
Administrator
Teacher
Other Campus Professional
Paraprofessional (Aide)
Auxiliary (Child Nutrition, Custodian, Maintenance, Transportation)
Employment
Length of Employment in the district?
Choose
1 year of less
2-4 years
5-9 years
10-14 years
15 years of more
Initial
What initially attracted you to our district?
Your answer
Support
Did you receive adequate support to do your job?
Yes
No
Clear selection
Expectation
Did your job duties turn out as you expected?
Yes
No
Clear selection
Workload
How was your workload?
Too Much
About Right
Too Light
Clear selection
Reason
*
Reason for leaving? (check all that apply)
Better Compensation
Career Change
Personal/Family Obligations
Opportunity for Advancement
Return to School
Relocation/Transfer of Family Member
Dissatisfaction with Supervisor
Retirement
Dissatisfaction with Coworkers
Working Conditions
Other:
Required
Other District
Do you plan to work in another school district?
Yes
No
Clear selection
District Name
Your answer
Another District
*
If you are leaving to work in another district, why did you choose that district?
Pay Increase
Work Schedule
Working Conditions
Advancement Opportunity
Benefits
Shorter Commute
Other
N/A
Required
Supervisor
How would you rate your working relationship with your supervisor?
Poor
1
2
3
4
5
Excellent
Clear selection
Coworkers
How would you rate your working relationship with your coworkers?
Poor
1
2
3
4
5
Excellent
Clear selection
Training
How would you rate training provided to you?
Poor
1
2
3
4
5
Excellent
Clear selection
Salary
How would you rate your salary?
Poor
1
2
3
4
5
Excellent
Clear selection
Benefits
How would you rate your benefits (health insurance, leave, etc.)
Poor
1
2
3
4
5
Excellent
Clear selection
Facilities
How would you rate your facilities and sense of safety?
Poor
1
2
3
4
5
Excellent
Clear selection
Supplies
How would you rate supplies and equipment provided to you?
Poor
1
2
3
4
5
Excellent
Clear selection
Evaluations
How would you rate evaluation procedures?
Poor
1
2
3
4
5
Excellent
Clear selection
Advancement
How would you rate your opportunity for advancement?
Poor
1
2
3
4
5
Excellent
Clear selection
Supervisor Support
How would you rate support from your supervisor?
Poor
1
2
3
4
5
Excellent
Clear selection
Overall
How would you rate your overall employment experience?
Poor
1
2
3
4
5
Excellent
Clear selection
Fairness
Do you feel your supervisor treated you fairly?
Seldom
Sometimes
Almost Always
Clear selection
Respect
Do you feel your supervisor treated you with respect?
Seldom
Sometimes
Almost Always
Clear selection
Recognition
Do you feel your supervisor recognized effort and good work?
Seldom
Sometimes
Almost Always
Clear selection
Encouragement
Do you feel your supervisor encouraged cooperation and teamwork?
Seldom
Sometimes
Almost Always
Clear selection
Listened
Do you feel your supervisor encouraged/listened to suggestions?
Seldom
Sometimes
Almost Always
Clear selection
Response
Do you feel your supervisor responded to complaints and problems?
Seldom
Sometimes
Almost Always
Clear selection
Managed Issues
Do you feel your supervisor managed employee issues appropriately?
Seldom
Sometimes
Almost Always
Clear selection
Liked
What did you like most about the district and your job?
Your answer
Liked Least
What did you like least about the district and your job?
Your answer
Improvement
Do you have any suggestions for improvement for the district or your department/campus?
Your answer
Anything Else
Is there anything that has not been asked that you would like to share?
Your answer
Good Workplace
Would you recommend the district to others as a good place to work?
Yes
No
Clear selection
Good Campus/Dept.
Would you recommend your campus/department to others as a good place to work?
Yes
No
Clear selection
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