Republic of the Philippines

Department of Education
Region IV-A CALABARZON
CITY SCHOOLS DIVISION OF DASMARIÑAS

EXIT INTERVIEW FORM FOR TEACHING AND NON- TEACHING AND TEACHING
RELATED PERSONNEL

Part I- Profile of the Respondents

Direction: This is a survey to gather some of your demographic characteristics as well as your
perception of your journey in the City Schools Division of Dasmariñas. Please answer the
questions as honest as you can. Rest assured that all your answer will be treated with utmost
confidentiality.
NAME:
SEX:
JOB TITLE:
DIVISION / UNIT:
START DATE WITH ORGANIZATION:
START DATE IN POSITION:
SEPARATION DATE:
TOTAL LENGTH OF SERVICE:
OTHER POSITIONS HELD WITH ORGANIZATION:
Part II- Practices in the Organization
Direction: Below are the indicators which will be used to specify your perception about the
profile and different practices in your school by checking () the column which corresponds to
your insight.

1. Aspects of the job you are vacating

1 2 3 4 Very 5
Unsatisfactor Satisfactory Satisfactory
Poor Excellent
y
Type of work performed
Fairness of workload
Salary
Working conditions
Tools and equipment provided
Training received
Co-workers
Supervision received
Level of input in decisions that
affected you

2. Aspects of the organization overall

1 2 3 4 Very 5
Poor Unsatisfactor Satisfactor Satisfactor Excellen
y y y t
Recruitment process

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Address: CSDO Bldg., DasCA Compound, Burol-II, City of Dasmariñas, 4115

Telephone No: (046) 423 7934 | 0919 081 4851 | 0919 081 4847 | 0919 081 4849
Email Address: dasmarinas.city@deped.gov.ph
Website: https://depeddasma.edu.ph
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New employee orientation

Training opportunities
Career development opportunities
Employee morale
Fair treatment of employees
Recognition for a job well done
Support of work-life balance
Cooperation within the agency
Communication between management and
employees
Performance and development planning and
evaluation
Interest and investment in employees
Commitment to customer service
Concern with quality and excellence
Administrative polices/procedures

3. Aspects about the immediate supervisor

1 2 3 4 5
Never Seldom Often Usually Always
Gave usable performance feedback
Recognized accomplishments
Clearly communicated expectations
Treated you fairly and respectfully
Coached, trained, & developed you
Provided leadership
Encouraged teamwork & cooperation
Resolved concerns promptly
Listened to suggestions & feedback
Kept employees informed
Supported work-life balance
Provided appropriate & challenging assignments

Note: The following questions are intended for those who would like to TRANSFER.

4. If you accepted another job, please complete the following.

Name of new employer
Location of position
Title of position
Nature of work of position
Salary of position
What the new position and/or
organization offers that we do not.

Part IV. Additional questions you may wish to answer:

Direction: Please answer the following as honest as possible. (Please use another sheet if necessary)

1. Were your expectations of the job and this organization met? If not, why?

Thank you for your candid comments. All responses will be kept confidential.
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2. Was your career path and future with our organization made clear to you?

3. What were the positive aspects about your job, manager, and/or the organization that caused you to
stay as long as you did?

4. What do you consider to be the biggest challenge this organization now faces and needs to
overcome?

5. In your opinion, what were the top three barriers to productivity in your job or work unit?

6. What would you suggest to management to make our organization a better place to work?

7. Would you recommend this organization to others as a place to work? Why or why not?

8. Do you have any objection to our sharing your comments with management?

9. Did you witness any violations of laws or policies?

10. Were you a victim of any type of harassment?

11. Were you asked to do anything unethical?

12. Do you have any other comments or suggestions?

Thank you for your candid comments. All responses will be kept confidential.
CONTROLLED COPY QMS-HRD-F07 Rev 3 (09/15/2021)