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  5. Regence Exit Survey

Regence Exit Survey

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At Regence we value your comments concerning your employment. Participation in the exit survey process is Optional. The information and recommendations that you share are useful in bringing attention to needed improvements in the working environment. Please be aware that if your information contains a previously identified pattern or trend of employee dissatisfaction, negative management practices or an issue of significant concern, that information will be analyzed and presented to management.
 
 
Name
   
 
Division: Please select a Division from the drop down menu below. After selecting your Division, another drop down list will be displayed below. Select an appropriate Sub-division from that list.
 
Location: Please select a state from the drop down menu below. After selecting your state, another drop down list will be displayed below. Select your city from that list.
 
 
Supervisor
   
 
 
When is your last day at Regence?
 
 
Why are you leaving Regence?
   
 
1. Please indicate the degree to which the following influenced your decision to leave Regence.
Considerable Influence Some Influence Minimal Influence No Influence
Better Job Opportunity
Relocation
Family Circumstances
Illness or Physical Condition
Management/Supervision
Recognition Program
Type of Work
Benefits
Cash Compensation
Return to School
Other
 
2. What did you like MOST and LEAST about working for Regence? Please select only one in each column.
Liked Most Liked Least
Benefits
Job Opportunities
Position
Work Schedule
Incentive Program
Management/Supervision
Training
Recognition Program
Environment
Co-Workers
Other
 
 
3. Would you recommend Regence to a friend as a place to work?
 
Yes
 
No
 
 
1. Overall, how would you rate your supervisor?
 
Poor
 
Below Average
 
Average
 
Good
 
Excellent
 
 
2. What did you like MOST and LEAST about the supervision that you were provided? Please select only one in each column.
Liked Most Liked Least
Approachability
People Skills
Ability to Motivate Employees
Support of Employees
Level of Professionalism Toward Employees
Fairness to Employees
Accountability to Employees
Realistic Expectations for Employees
Trustworthy
Teamwork Support
Other
 
1. Please respond to the following questions on the agreement scale to share your thoughts and observations.
Strongly Agree Agree Neither Agree Nor Disagree Disagree Strongly Disagree
I was aware of what was expected from me in my job.
I feel the job description provided to me painted an accurate picture of daily job responsibilities.
I feel performance evaluations were administered fairly.
I feel on-the-job training was adequate.
I feel that personnel policies were administered fairly.
There were policies I disagreed with.
 
 
Please elaborate on any of your above responses.
   
 
 
1. If you have any recommendations for development opportunities that may have increased your effectiveness, please explain.
   
2. Please share any suggestions that would have made your work experience more positive.
   
3. Is there anything Regence could have done to prevent you from leaving?
   
4. If you could recommend changes to the position that you are leaving, what would they be?
   
5. In your opinion, are you aware of any situation where Regence resources are being improperly used, an individual is improperly benefiting from his/her position at our company, or the code of business conduct, ethics standards, statutes, regulations, or Medicare program requirements are being violated in some manner? If so, please elaborate.
   
 
 
Thank you for taking the time to complete this survey. The information and recommendations that you share are useful in bringing attention to needed improvements in the working environment. Please be aware that if your information contains a previously identified pattern or trend of employee dissatisfaction, negative management practices or an issue of significant concern, that information will be analyzed and presented to management.

If you are willing to be contacted by Regence in the future, please share your contact information here.
 
 
Name
   
Phone
   
Email
   
Please contact [email protected] if you have any questions regarding this survey.
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