Exit Interview Form

Part A: Reason for Departure

Please specify the primary reason/s you are departing from your current role:

[radio* reason use_label_element "Relocating" "Role Dissatisfaction" "Personal Reasons" "No longer able to work" "New opportunity" "Other"]

[conditional reason equals "Other"]

Please specify if you selected 'Other':

[/conditional]

Part B: Experience

	Poor	Satisfactory	Good	Excellent
Communication with others	[radio* exp1 use_label_element "☐"]	☐	☐	☐
Reimbursement practices	[radio* exp2 use_label_element "☐"]	☐	☐	☐
Opportunities for Growth and Development	[radio* exp3 use_label_element "☐"]	☐	☐	☐
Quality of Training and Development Programs	[radio* exp4 use_label_element "☐"]	☐	☐	☐
Relationship with Other Volunteers and Management	[radio* exp5 use_label_element "☐"]	☐	☐	☐
Physical Working Conditions	[radio* exp6 use_label_element "☐"]	☐	☐	☐
Resources and Support to Carry Out Duties	[radio* exp7 use_label_element "☐"]	☐	☐	☐
Feedback Regarding Performance	[radio* exp8 use_label_element "☐"]	☐	☐	☐

Part C: Role Satisfaction

1. How satisfying was your role?

2. What was most satisfying about your role?

Islamic working environmentSupportive working environmentGiving back to the communityTeaching the Quran/Participating in DawaPersonal & professional development opportunitiesOther

[conditional satisfaction-options includes "Other"]

Please specify if you selected 'Other':

[/conditional]

3. Were your expectations of the role and this organization met? If not, please tell us why.

[radio* expectations-met use_label_element "Yes" "No"]

4. What, if anything, could have been done to prevent you from leaving?

[radio* prevent-leaving use_label_element "Yes" "No"]

5. What suggestions would you make to improve the role/organization?

6. Do you have any other comments or suggestions?

7. Would you volunteer for us again?

[radio* volunteer-again use_label_element "Yes" "No"]

[acceptance* privacy-policy-consent] I agree to the use of my feedback as per the privacy policy.