Exit Questionnaire

This exit questionnaire is made available to departing faculty/staff or to those who move to another department on campus to comment on their KU employment in retrospect. Results of the questionnaires are made available to management staff in summarized fashion, but individual responses remain confidential.

We ask that you provide your name and department only for internal tracking purposes and to avoid duplication of reporting. Every effort will be made to keep the information you provide confidential. Data reporting will be done without identifying individual responses.

Fields marked with asterisks are required.

Employee Information







Employee Type






3. Please rate the following compensation/benefit provisions at the University:

Pay in Relation to Job Duties
Paid Holidays
Vacation
Sick Leave
Health Insurance
Retirement Plan
Flexible Spending Accounts (i.e. KanElect)

4. Please rate the quality of the professional development opportunities provided by the Department of Human Resources and Equal Opportunity:

Availability of Training Programs
Quality of Training Programs Attended
Satisfaction with the Tuition Assistance Program

5. Please rate the quality of the following as a member of the University community:

Overall Orientation to the University
Communication of Policies/Procedures
Promotional Opportunities

6. Please rate the following regarding your position and department:

Job Duties were Clearly Communicated
Working Relationships within the Department
Cooperation with other KU Departments
Equipment Provided
Physical Working Conditions
Workplace Safety

7. How was your work load usually?

8. Rate your immediate supervisor in the following areas:

Knowledge of the Work
Appropriate Delegation of Assignments
Observance of Policies and Regulations
Provided Feedback on Performance
Recognized Staff Contributions
Listened to Your Ideas and Concerns
Resolved Complaints and Problems

9. Do you feel that you experienced any harassment or discrimination while employed at KU?

The University of Kansas is an Equal Opportunity/Affirmative Action Employer. The University encourages applications from underrepresented group members. Federal and state statutes prohibits discrimination on the basis of race, religion, color, national origin, ancestry, sex, age, disability, and veteran status. In addition, University policies prohibit discrimination on the basis of sexual orientation, marital status, parental status, gender identity, and gender expression.

11. Would you recommend your department as a good place to work?

12. Did you feel valued as an employee in the position you are leaving?

Use this space for any additional comments not covered by previous questions.

Please enter the two words into the field below.



The University of Kansas prohibits discrimination on the basis of race, color, ethnicity, religion, sex, national origin, age, ancestry, disability, status as a veteran, sexual orientation, marital status, parental status, gender identity, gender expression, and genetic information in the university’s programs and activities. Retaliation is also prohibited by university policy. The following persons have been designated to handle inquiries regarding the nondiscrimination policies and are the Title IX coordinators for their respective campuses: Executive Director of the Office of Institutional Opportunity & Access, IOA@ku.edu, 1246 West Campus Road, Room 153A, Lawrence, KS 66045, 785-864-6414, 711 TTY (for the Lawrence, Edwards, Parsons, Yoder, and Topeka campuses); Director, Equal Opportunity Office, Mail Stop 7004, 4330 Shawnee Mission Parkway, Fairway, KS 66205, 913-588-8011, 711 TTY (for the Wichita, Salina, and Kansas City, Kansas, medical center campuses).