We are interested in learning about your experiences at Hartford Hospital. All responses are confidential and will remain anonymous. Your participation will assist us in analyzing factors contributing to our turnover as well as make Hartford Hospital a better place to work.

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* 1. Please enter your name (optional)

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* 2. Please enter your employee number (optional)

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* 3. Please enter your department name (Information is anonymous and will help us analyze trends at the department level.)

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* 6. Briefly explain your PRIMARY reason for leaving Hartford Hospital.

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* 7. Using the scale below, please respond to the following statements about your IMMEDIATE SUPERVISOR.

  Never Rarely Sometimes Often Always
My supervisor treated me with fairness and respect
My supervisor treated everyone fairly and did not have favorites
My supervisor resolved problems and concerns within the department
My supervisor welcomed and solicited suggestions
My supervisor provided frequent and constructive feedback
My supervisor was knowledgeable about my job function
My supervisor exhibits the H3W Leadership Behaviors

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* 8. Using the scale below, please respond to the following statements about TRAINING, DEVELOPMENT AND ADVANCEMENT OPPORTUNITIES

  Strongly Disagree Disagree Neither Disagree nor Agree Agree Strongly Agree
My new hire training provided me with adequate information to perform my job
There were sufficient advancement opportunities for me within Hartford Hospital
I had the opportunity for career development within my department or organization
I was provided with a clear understanding of what was expected of me

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* 9. Using the scale below, please respond to the following statements about COMPENSATION AND BENEFITS

  Strongly Disagree Disagree Neither Disagree nor Agree Agree Strongly Agree
I felt the salary paid to me was competitive with salaries being offered by other companies in the area/industry
Hartford Hospital offered a competitive benefits package

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* 10. Using the scale below, please respond to the following statements about the WORK ENVIRONMENT

  Strongly Disagree Disagree Neither Disagree nor Agree Agree Strongly Agree
My assigned workload was manageable
It was possible to maintain a healthy work/life balance
Employees could voice concerns and opinions without fear of retribution

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* 11. What was the single best thing about working for Hartford Hospital?

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* 12. During your employment at Hartford Hospital did you become aware of, or did you observe any conduct or activity that could be considered unethical or illegal?

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* 13. If you answered yes to the above, did you notify your supervisor, the compliance officer or any other individual about your observations?

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* 14. Would you recommend Hartford Hospital to a friend as a place to work?

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* 15. Would you recommend Hartford Hospital to family and friends who needed care?

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* 16. Was there anything Hartford Hospital could have done to prevent you from leaving?

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