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DATE: September 18, 2000
SAMPLE STUDENT EXIT QUESTIONNAIRE
Students are encouraged to provide honest and constructive
feedback to help the department improve the quality of future
assignments.
Student program through which you were
hired:
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FSWEP |
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CO-OP |
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OTHER, Please
specify: _________________________ |
Please use the following ratings.
1 = Very satisfied
2 = Satisfied
3 = Indifferent |
4 = Dissatisfied
5 = Very dissatisfied |
1. Quality of your assignment
Please indicate your level of satisfaction in terms of the
following factors.
| |
Circle your answer
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| a. Opportunity to learn |
1 2 3 4 5 |
| b. Work related to professional
goals |
1 2 3 4 5 |
| c. Challenging work |
1 2 3 4 5 |
| d. Realistic work plan |
1 2 3 4 5 |
| e. Sufficient time to accomplish
objectives |
1 2 3 4 5 |
| f. Adequate supplies and
equipment |
1 2 3 4 5 |
| g. Safe working environment |
1 2 3 4 5 |
2. Quality of supervision
Please indicate your level of satisfaction with the
supervision that you received in terms of the following factors.
Your supervisor:
| |
Circle your
answer |
| a. Demonstrated respect for
employees |
1 2 3 4 5 |
| b. Was available for meetings and
consultations |
1 2 3 4 5 |
| c. Demonstrated
professionalism |
1 2 3 4 5 |
| d. Provided role modeling and
training |
1 2 3 4 5 |
| e. Communicated realistic
expectations for your work |
1 2 3 4 5 |
3. Quality of interactions
Please indicate your degree of satisfaction regarding your
interaction with others in your work unit in terms of the
following factors.
| |
Circle your
answer |
| a. Participation as a member of the
team |
1 2 3 4 5 |
| b. Opportunity to discuss your
ideas |
1 2 3 4 5 |
| c. Opportunity to receive frequent
guidance |
1 2 3 4 5 |
| d. Opportunity to receive timely
feedback on your work progress |
1 2 3 4 5 |
4. Overall assessment
| |
Circle your
answer |
| a. Please indicate your general
level of satisfaction regarding your work experience. |
1 2 3 4 5 |
5. Comments about the federal Public
Service
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Yes/No |
| a) Would you recommend a
job assignment in the federal Public Service to other
students? |
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| b) After this job
experience, would you like to pursue a career in the federal
Public Service? |
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Additional comments
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
| Optional section
Supervisor's Name: ____________________________
Branch: _____________________________________
Student's Name: ______________________________
Period of Assignment: _________________________________________________
Signature of Student: ________________
Date : _________________________
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Thanks for your participation!
SAMPLE FORM FOR COMPILING
RESULTS OF THE STUDENT EXIT QUESTIONNAIRE
This sample form aims to help
departments rapidly compile the results obtained from the student
exit questionnaire.
1. Quality of your
assignment
| Questions |
Number of people
for each rating
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Total
responses
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Average
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1
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2
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3
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4
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5
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| 1. a) |
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| 1. b) |
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| 1. c) |
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| 1. d) |
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| 1. e) |
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| 1. f) |
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| 1. g) |
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| Total |
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2. Quality of
supervision
| Questions |
Number of people
for each rating
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Total
responses
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Average
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1
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2
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3
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4
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5
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| 2. a) |
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| 2. b) |
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| 2. c) |
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| 2. d) |
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| 2. e) |
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| Total |
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3. Quality of
interaction
| Questions |
Number of people
for each rating
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Total
responses
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Average
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1
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2
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3
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4
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5
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| 3. a) |
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| 3. b) |
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| 3. c) |
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| 3. d) |
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| Total |
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4. Overall
evaluation
| Questions |
Number of people
for each rating
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Total
responses
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Average
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1
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2
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3
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4
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5
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| 4. a) |
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5. Comments about the
federal Public Service
| Questions |
Number of people
for each rating
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Total
responses
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Yes
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No
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| 5. a) |
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| 5. b) |
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6. Additional
comments
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
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