Please enable JavaScript in your browser to complete this form.NameFirstLastJob titleArea within ABC ABC central teamAssociatesClinical ServicesBurgess Hill & Villages PCNCare Collaborative PCNCrawley Care Collaborative PCNEast Grinstead PCNHaywards Heath Central PCNHaywards Heath Villages PCNHealthy Crawley PCNHorley PCNHorsham Central PCNHorsham Collaborative PCNNorth Tandridge PCNSouth Crawley PCNOtherPlease specifyHow long have you worked at ABC?6 – 12 months1 – 2 years2 – 3 years4 – 5 years5 – 10 years5. What made you look for a new job/influenced your decision to resign? 6. Did any of the below influence your decision to leave your current role? Promotion / Higher paid jobCareer developmentBetter rewards packageCareer changeBullying and harassmentJob dissatisfactionPoor management of departmentPoor work life balanceWork pressuresLack of training and developmentLack of flexible workingFamily / caring responsibilitiesHealthRetiringEnd of fixed term contractRelocationCommute was too long7. What does your new position offer that influenced your decision to leave? (If applicable) 8. Did any other reason influence your decision to leave? (Please specify) 9. Is there anything that would have persuaded you to stay? (Please select all that apply) Review of workloadBetter support from managerImproved communicationProactive resolution to concerns raisedStructured career conversationsMore flexibility in hours/rotaImproved recognition for work completedBetter relationship with colleaguesImproved staffingMore autonomy in roleInvolvement in decision makingNothing would have persuaded me to stay10. Did you feel you were equipped to do your job well? YesNo11. Were you given clear goals and objectives? YesNo12. How can we improve our training and development? In regards to your role, please rate the following:13. I felt trusted to do my role AlwaysUsuallySometimesRarelyNever14. I had a clear understanding of my duties and responsibilities AlwaysUsuallySometimesRarelyNever15. I received regular recognition / feedback on my work AlwaysUsuallySometimesRarelyNever16. I received appropriate training and support for my role AlwaysUsuallySometimesRarelyNever17. My workload was appropriate and manageable AlwaysUsuallySometimesRarelyNeverIn regards to your development, please rate the following:18. My appraisals and supervisions with my line manager provided me with helpful developmental objectives and goals AlwaysUsuallySometimesRarelyNever19. My line manager discussed my career aspirations and progression with me AlwaysUsuallySometimesRarelyNever20. There were appropriate training and learning opportunities provided at ABC AlwaysUsuallySometimesRarelyNever21. I was supported by my line manager to attend training and development opportunities AlwaysUsuallySometimesRarelyNever22. I felt supported to develop and grow my career at ABC AlwaysUsuallySometimesRarelyNeverIn regards to your line manager, please rate the following:23. My line manager encouraged and listened to suggestions I put forwards AlwaysUsuallySometimesRarelyNever24. My line manager resolved concerns promptly AlwaysUsuallySometimesRarelyNever25. My line manager treated me fairly and respectfully AlwaysUsuallySometimesRarelyNever26. I was satisfied with the support I received from my line manager AlwaysUsuallySometimesRarelyNever27. What could ABC have done better? 28. How likely are you to recommend ABC as an organisation to work for? Very likelyLikelyNeither likely nor unlikelyUnlikelyVery unlikely29. Would you consider working for ABC in the future? YesNoDon’t know30. Do you have any other comments of issues that you would like to address? Would you like an exit interview with your line manager? *YesNoWould you like an exit interview with a member of the People Team? *YesNoSubmit
