MEIC Universal Exit Interview

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* 1. I have worked in Early Intervention for:

0-1 year

1-2 years

2-3 years

3-4 years

4-5 years

5-10 years

10-20 years

20-30 years

30+ years

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* 2. I successfully completed the process to be a certified EI Specialist (CEIS)

Yes

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* 3. This was the first job in my field of education/training:

Yes

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* 4. I was employed:

Full Time

Part Time

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* 5. I was a:

Salaried Employee

Fee-for-Service or Hourly Employee

Contracted Consultant

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* 6. I have voluntarily reduced my hours:

From:

To:

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* 7. My Discipline is:

Developmental Specialist (DS) a.

DS b.

DS c.

DS d.

Speech/Language Pathologist

Physical Therapist

Social Worker

Psychologist

Occupational Therapist

Nurse

Other (please indicate)

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* 8. Please indicate the top five reasons that you have decided to leave your EI program or reduce hours.

Better Salary

Improved Benefits

Productivity requirements/insufficient time to complete the job

Travel/commute

Seeking job advancement/new responsibilities

Early Intervention did not match my interests

Did not want to participate in the certification process

Need for more clinical supervision in my field

Relationship with supervisor

Moved from area

Family responsibilities (baby, spouse lost job, etc.)

Lack of support from the Team

Lack of appreciation from the Program

Could no longer physically do the work

Safety issues while in the field

Retirement

Other (please explain)