City of Hickory
PO Box 398
Hickory, NC 28603
Phone: (828) 323-7421
Fax: (828) 323-7550
Your participation in this exit interview is voluntary. A copy will be placed in your personnel file.
Name: Date: Department:
Date of Hire: Termination Date:
Reason for Leaving: Supervisor:
Please choose the rating that best fits your work experience.
My supervisor provided me with an appropriate level of supervision.
1 2 3 4 5
I could easily approach my supervisor with a question or problem. 1 2 3 4 5
My supervisor was consistently fair.
1 2 3 4 5
My supervisor listened to my concerns, questions and/or complaints. 1 2 3 4 5
My supervisor solved complaints.
1 2 3 4 5
My supervisor followed City and Department Policy. 1 2 3 4 5
I could easily approach my department head with a question or concern.
1 2 3 4 5
My coworkers and I worked well as a team. 1 2 3 4 5
My coworkers were willing to help if I needed assistance.
1 2 3 4 5
The City of Hickory's benefits package met my needs. 1 2 3 4 5
I knew whom to contact in Human Resources for benefit and employment questions.
1 2 3 4 5
My pay was fair and appropriate. 1 2 3 4 5
The City of Hickory's salaries are competitive.
1 2 3 4 5
My workload was appropriate, not too much and not too little. 1 2 3 4 5
I was concerned about my personal safety while performing my job.
1 2 3 4 5
I received the training I needed to perform my job in the manner that was expected of me. 1 2 3 4 5
I received adequate training and information regarding City policies and procedures.
1 2 3 4 5
I received proper safety training and instructions. 1 2 3 4 5
There are promotional opportunities within my department.
1 2 3 4 5
The City of Hickory is a good place to work. 1 2 3 4 5
I would recommend the City of Hickory as an employer to others.
1 2 3 4 5
My work performance was evaluated fairly and appropriately. 1 2 3 4 5
Performance expectations were clearly communicated to me.
1 2 3 4 5
1. What are some improvements your supervisor could make to improve relationships with staff?
2. What benefit improvements would you recommend?
3. What would you change about the position you are leaving?
4. What improvements could the City make to become a better employer and place to work?
5. Additional Comments:
Signature: HR Staff:
Human Resources Department - Exit Interview
1-Strongly Agree, 2-Agree, 3-No Opinion, 4-Disagree, & 5-Strongly Disagree
