NAME OF AGENCY

STAFF EXIT SURVEY

The has been advised of your decision to leave your position with
the Government of Western Australia. It will be helpful if you are willing to provide
information about the issues influencing your decision to leave. Some of these issues,
if identified by a number of departing staff and consistent over time, may provide
valuable pointers for the formulation of public sector human resource management
policy. They may also help to clarify possible concerns in organisational culture.
It would be appreciated if you would complete this questionnaire and return it in the self-
addressed, reply paid envelope provided, to ________________.
Please note that your name is not required on this questionnaire and your responses will
be confidential. If, however, you wish to have further discussions about anything
regarding your decision to leave, you are encouraged to identify yourself at the bottom
of this page. A follow-up interview will be conducted by an independent consultant and
all results will be totally confidential.
NAME OF AGENCY thanks you for your cooperation in the completion of this
questionnaire. If you have any questions, or would like further information, please
contact ___________________ on telephone ____________.
SIGNATURE
POSITION
Optional
I would be happy to be interviewed by an independent consultant in three to six months time, on the
understanding that all information will be kept confidential.
Name ______________________________ Contact Telephone ________________
NAME OF AGENCY
STAFF EXIT SURVEY
PART I: DEMOGRAPHIC INFORMATION
Please tick the boxes which most accurately describe your situation.
Service
Current Age Length of Service
(Years)
Total Public
Sector
1
Years at Last
Agency
< 30 0-4
30 -34 5-9
35-39 10-14
40-44 15-19
45-49 20-24
50-54 25+
55-59
>60 Gender Male Female
Employment
Highest Academic
Qualification
Highest Public Sector
Level
School or TAFE 1 - 2
Undergraduate 3 - 4
Postgraduate 5 - 6
Employment Type Employment at Time of
Leaving
Permanent Full Time
Contract Part Time
Other
Name of Last Public Sector Agency ________________________________________________
Personal
Career Destination on Leaving Full Time Part Time
Other State Public Sector Agency
Other Public Employment (Commonwealth, Local,
University, Utilities)
Community or Non-Government Sector (ie.__________)
Home Duties
Private Employment (employee)
Private Employment (own business)
Unemployed
Retired

1
Please include all public sector employment (State, Commonwealth, local government, or University).
New Salary Level
Higher than Before
Same as Before
Less than Before
Unknown at this time
PART II: LEVEL OF JOB SATISFACTION AT LAST AGENCY
Please circle using the scale below considering particularly your work environment over the last two
or three years.
A. The Organisation - your public sector employer (eg CALM, Health, Education)
Scale
1. Always 4. Hardly ever
2. Most of the time 5. Never
3. Sometimes 0. Not applicable / Dont know
1. I felt the senior leadership of the organisation had a
clear vision and direction for the organisation.
1 2 3 4 5 0
2. The organisation gave me access to skills training to
help me do my job better.
1 2 3 4 5 0
3. The organisation provided me with adequate
opportunities for personal development.
1 2 3 4 5 0
4. I could see opportunities for promotion in my agency
or the broader public sector.
1 2 3 4 5 0
5. I felt the salary for my job was right for the
responsibilities I had.
1 2 3 4 5 0
6. The organisation recognised when staff did good work.
1 2 3 4 5 0
7. Management in the agency generally supported my
work and that of my team.
1 2 3 4 5 0
8. You could get things done without too much 'red tape'.
1 2 3 4 5 0
9. If necessary senior management staff were available to
talk about issues in my work.
1 2 3 4 5 0
10. I was kept informed of changes in the organisation
which would affect me.
1 2 3 4 5 0
11. I was encouraged to participate in organisational
change strategies.
1 2 3 4 5 0
B. The Work Location - your specific section, unit, team or area (eg Finance, Planning)
Scale
1. Always 4. Hardly ever
2. Most of the time 5. Never
3. Sometimes 0. Not applicable / Dont know
1. I was satisfied with the quality of the management and
supervision within my work location.
1 2 3 4 5 0
2. I worked well with my colleagues.
1 2 3 4 5 0
3. My job was challenging and interesting.
1 2 3 4 5 0
4. My job was stimulating and I could learn from doing.
1 2 3 4 5 0
5. I enjoyed the level of contact with other people in my
job.
1 2 3 4 5 0
6. I was encouraged to use my initiative in the course of
my work.
1 2 3 4 5 0
7. I was able to use the full range of my skills, abilities
and knowledge in my job.
1 2 3 4 5 0
8. My job provided sufficient variety.
1 2 3 4 5 0
9. I was able to cope with the level of stress and pressure
in my job.
1 2 3 4 5 0
10. My job allowed me to balance the demands of work
and family to my satisfaction.
1 2 3 4 5 0
11. My supervisor gave me adequate recognition for my
work contribution.
1 2 3 4 5 0
C. Overall Statement of Job Satisfaction
Scale
1. Always 4. Hardly ever
2. Most of the time 5. Never
3. Sometimes 0. Not applicable / Dont know
1. I felt I could be effective in my job.
1 2 3 4 5 0
2. I was satisfied with the quality of my working life in
my last agency.
1 2 3 4 5 0
3. My immediate work environment was satisfying.
1 2 3 4 5 0
PART III: REASONS FOR LEAVING
Please tick the box which indicates the importance of the following factors in your decision to leave
your previous position.
Very
Influential
Quite
Influential
Of Minor
Importance
Not
Applicable
Promotion or Career Advancement (including
improved remuneration)
Career Change (including formal study; seeking
a new challenge)
Constant Change and Uncertainty
Job eliminated and/or contracted out
Personal Reasons (related to the job)
Personal Reasons (unrelated to the job)
Retirement
Availability of redundancy package
Other ............................................................
...................................................
If I had to make the same decision today I would do so again. Yes ( ) No ( )
PART IV: FURTHER COMMENTS
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Date Left Agency: Month ...................................... Year ...................................