Form CN2401 "Exit Interview Questionnaire" - Connecticut

What Is Form CN2401?

This is a legal form that was released by the Connecticut State Department of Correction - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 30, 2015;
  • The latest edition provided by the Connecticut State Department of Correction;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form CN2401 by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Correction.

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Download Form CN2401 "Exit Interview Questionnaire" - Connecticut

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Exit Interview Questionnaire
CN 2401/1
REV 09/30/15
Connecticut Department of Correction
Employee Name:
Employee Number:
Total years with the Department of Correction:
Job title at time of termination:
1.
Please list the reason(s) that contributed to your decision to leave the Department of Correction:
A.
To accept alternative employment:
B.
Relocation:
C.
Limited promotional opportunities:
D.
Lack of training:
E.
Poor supervision:
F.
Working conditions:
G.
Job expectations:
H.
Other:
2.
Would you ever consider returning to work for the Department of Correction?
Yes
No
If no, please explain why
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
3.
Did your job make good use of your skills and abilities?
Yes
No
If no, please explain how your skills and abilities were underutilized.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
4.
Did the job meet your expectations?
Yes
No
If no, please explain why
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
5.
Do you feel that the supervising staff provided the guidance and information you need to do your job?
Yes
No
If no, please explain how supervision could have been more helpful in guiding you on the job.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Exit Interview Questionnaire
CN 2401/1
REV 09/30/15
Connecticut Department of Correction
Employee Name:
Employee Number:
Total years with the Department of Correction:
Job title at time of termination:
1.
Please list the reason(s) that contributed to your decision to leave the Department of Correction:
A.
To accept alternative employment:
B.
Relocation:
C.
Limited promotional opportunities:
D.
Lack of training:
E.
Poor supervision:
F.
Working conditions:
G.
Job expectations:
H.
Other:
2.
Would you ever consider returning to work for the Department of Correction?
Yes
No
If no, please explain why
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
3.
Did your job make good use of your skills and abilities?
Yes
No
If no, please explain how your skills and abilities were underutilized.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
4.
Did the job meet your expectations?
Yes
No
If no, please explain why
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
5.
Do you feel that the supervising staff provided the guidance and information you need to do your job?
Yes
No
If no, please explain how supervision could have been more helpful in guiding you on the job.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Exit Interview Questionnaire
CN 2401/2
REV 09/30/15
Connecticut Department of Correction
6.
Were you provided with positive feedback and recognition for your work accomplishments?
Yes
No
If no, please comment
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
7.
Was your supervising staff responsive to job related matters brought to their attention?
Yes
No
If no, please comment
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
8.
Were you given sufficient and accurate information about the job?
Prior to hiring:
Yes
No
At orientation training: Yes
No
If no, please comment
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
9.
Were you provided adequate training to perform your job?
Yes
No
If no, how could training be improved?
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
10.
Please list any suggestions for changes or improvements which could assist the Department in enhancing its
operations.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Employee’s Signature:
Date:
Interviewer’s Signature:
Date:
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