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Corine's Care Management, Inc
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EXIT INTERVIEW

This exit survey has been designed to gather important data on why employees choose to leave employment with CCM. Your responses are completely confidential and provide valuable information on such issues as job satisfaction, communication, and training for the purpose of improving the work environment for CCM's employees. We sincerely hope you will share your thoughts. Thank you very much for taking the time to complete this exit survey and best wishes in the future.

Contact:  Michael Herring
Phone: 252.747.5705

Fax: 252.747.5635
Email: ccm1108a@yahoo.com

If you have questions, or would like more information, please leave your name and contact information.

 
Section I (please complete fully).
Please check your current type of appointment.
 
Section II
Instructions: Please read each sentence below and choose the option that best describes your feelings. You may add additional comments in the following section. Please complete each one.
 
Section III
2) Please check all the reasons you are leaving CCM.
Section IV
Please indicate the type of job or occupational field you are taking or seeking (if applicable):