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Confidential Exit Questionnaire

Hotel Dieu Shaver Health and Rehabilitation Centre is committed to finding ways to make our environment and workplace better for its employees. This Exit Questionnaire is part of a program designed to help learn about your experiences with us at Hotel Dieu Shaver and will provide us with valuable information to measure success and identify ways to continually improve the workplace environment. We appreciate the opportunity to receive your honest and objective opinions regarding the conditions of your work and the work environment.
The completion of this survey is voluntary. All provided information is held in strict confidence and will only be utilized to identify and address workplace concerns.

If you have any questions or would prefer to set up a formal Exit Interview with the Human Resources Manager, please contact the Human Resources Department at (905) 685-1381 ext 85221.

(In Years)
EMPLOYMENT STATUS: *This question is required.
1. Please indicate your reasons for leaving HDS (select all that apply): *This question is required.
2. Please indicate your primary reason for leaving (from the same list): *This question is required.
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