Department of Social Welfare and Development

Field Office IV-B MIMAROPA

INSTITUTIONAL DEVELOPMENT DIVISION
Human Resource and Development Unit

EMPLOYMENT EXIT SURVEY

Please complete this survey as honestly as possible. You may answer in either Filipino or English. The
information you will share with us will be treated as confidential. We value your feedback regarding your
experience in working with DSWD and such will be our basis to further improve our work environment.
Thank you.

Name: ____________________________
Permanent Address: _____________________________________
Contact number: _____________________________ E-mail ____________________________________
Position: ___________________________________ Office/Division/Unit/Section: _______________
Number of years/months in DSWD:  MOA _____  Casual _____  Temporary _____  Regular
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Inclusive dates: ________________________

1. What is your reason for leaving? Check all that apply.

 Type of Work  Return to school
 Compensation  Health or family circumstances
 Lack of recognition  Dissatisfaction with supervisor
 Organization culture  Dissatisfaction with co-workers
 Organization direction/strategy  Career change
 Quality of supervision  Work schedule
 Better job opportunity  Low work performance rating
 Lack of job satisfaction Others (please specify:
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2. Rate your immediate supervisor on the following. Check the box which corresponds to your
rating.
Name of Supervisor: _____________________________

Always Sometimes Never Comments, if any

 Provides needed supervision or
   ____________________
guidance
 Treated employees fairly and
   ____________________
equally
 Provided recognition on the job
   ____________________
well done
 Encourage collaboration within
   ____________________
the team
 Encouraged and listened to
   ____________________
suggestions
 Resolved complaints and
   ____________________
problems
 Followed policies and practices    ____________________

3. What did you like most about your job and the organization?
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4. What did you like least about your job and the organization?
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5. What suggestions do you have for improvement?
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