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North Carolina State University Exit Questionnaire for Separating Faculty

Dear Colleague:

On behalf of North Carolina State University, I want to thank you for the contributions you made during your employment with the University. As you leave the University, we ask that you participate in our confidential employee exit survey.

The University wants to better understand what our employees value most in their workplace and why they leave. We would appreciate your honest responses to all of the questions on this form, but you may choose to respond to only some if you wish. You are not required to complete this questionnaire and it will not affect your employment record in any way.

The information you furnish is confidential and will be used in summary form as a means to identify patterns or trends in the work environment at the University.

This survey should take no more than 10 minutes to complete. If you prefer to share this information with someone in person, please contact Ursula Hairston, Assistant Equal Opportunity Officer, at ursula_hairston@ncsu.edu or (919) 513-3250. Thank you for completing the survey and we wish you every success in the future.

Joanne G. Woodard
Vice Provost for Institutional Equity & Diversity

Please note that this form is for faculty only. Other departing EPA and SPA personnel, please see the Exit Interview Questionnaire for SPA/EPA Professionals.

Privacy and Confidentiality Statement
We are interested in identifying opportunities to improve the work environment at NC State. Please respond to each of the following questions with honesty and candor. Summaries of exit questionnaire responses are collated annually and submitted to the appropriate Dean's or Vice Chancellor's office to determine factors that contribute to turnover. Your feedback is greatly appreciated and all responses will remain anonymous. All responses, including any personal information you provide, will be kept strictly confidential. Your input will only be used in combination with the responses of others participating in the survey. Your individual responses are not shown to anyone.
Exit Questionnaire
1. Last Name:
(optional)
2. First Name:
(optional)
3. Classification: Non-Tenure Track Faculty
Tenured/Tenure-Track Faculty
4. Current Rank/Title:

Full-time  Part-time
5. Department:
6. College/Division: 
7. Date of separation: (Please use MM/DD/YYYY format.) 
8. NCSU length of service:
 years, months
9. Which factors attracted you to NC State? (Check all that apply.)

A. Interesting position
B. Opportunities for training, advancement, career growth
C. Benefits
D. Academic environment
E. Pay
F. Quality of life
G. Job security
H. Other (please list): 
10. What did you enjoy most about your job at NC State? (Check all that apply.)

A. Pay
B. Working hours
C. Coworkers
D. Convenient location
E. Benefits
F. Challenging work
G. Quality of supervision
H. Training/educational opportunities
I. Opportunities for advancement
J. Recognition of work
K. Work environment
L. Parking
M. Employer/employee communications
N. Other (please list): 
11. What did you enjoy least about your job at NC State? (Check all that apply.)

 A. Pay
B. Management practices
C. Coworkers
D. Convenient location
E. Benefits
F. Lack of challenging work
G. Quality of supervision
H. Training/educational opportunities
I. Opportunities for advancement
J. Recognition of work
K. Work environment
L. Parking
M. Other (please list): 
12. Primary reasons for leaving NC State: (Check all that apply.)

A. Career change
B. Personal health issues
C. Lack of recognition for work
D. Lack of advancement opportunities
E. Laid off (RIF)
F. Anticipated denial of tenure
G. Maternity leave
H. "Chilly" climate
I. Expectations were not met
J. Family or personal needs
K. Moving from area
L. To further education
M. Discontinuation of funding
N. Trailing spouse/partner
O. Retirement
P. Management practices
Q. Non-renewal of contract/position
R. Dissatisfied with local community
S. Pay dissatisfaction
T. Quality of supervision
U. Workload or work hours
V. Dissatisfaction with benefits
W. Conflict with other employees
X. Lack of teaching/research resources
Y. Red tape and bureaucracy
Z. Other (please list): 
13. Which one factor noted in item 10 was most important in your decision to leave? (Please list only one.)



Comments, if any:
14. Did you receive a written performance appraisal annually during your most recent position at the University?

Yes  No

Please explain:
15. Were you treated fairly and with respect during your employment at NC State?

Yes  No

Please explain.
16. Do you feel that NC State welcomes people of different races, cultures, and beliefs?

Yes  No

Please explain.
17. Would you recommend employment in your department or at NC State to a friend or colleague?

Yes  No

Please explain.
18. What constructive suggestions do you have for improving employment at NC State?
19. Your future employer:

A. Private employment (e.g. business, industry).
Name & location:
B. Self-employment
C. Local government
D. State government
E. Federal government
F. Not-for-profit agency
G. Other university/college
Name & location: 

H. Other (please list): 
20. What makes your future employer/position more attractive than your current position?
21. Did you have an exit interview with the Office for Institutional Equity & Diversity?

Yes  No

If yes, please enter the date of your interview with OIED (mm/dd/yyyy):
22. Have you completed the Separation Clearance Checklist and the Asset Tracking Form available on the Human Resources website?

Yes  No

Comments:
23. Any further comments you would like to add:
Demographic Data
Gender:
Female Male
Race: American Indian/Alaskan Native
Asian /Pacific Islander
Black
Hispanic
White
Other
Age Group: Under 30
30-39
40-49
50-59
60+
Submit Your Survey
Thank you for your employment at NC State University and for completing this survey.