Commonwealth of Pennsylvania
Employee Mobility Information Program

Employment Change Survey

To be completed by permanent employees who are transferring to another job,
either within or between agencies under the Governor’s jurisdiction.

 

SAMPLE SURVEY
This is not the actual form.


Thank you for your continued service to the Commonwealth of Pennsylvania.  It is vital for the Commonwealth as an employer to know what is important to its employees.  As a result, the following employment change survey has been designed to capture your impressions about Commonwealth employment and the reasons why you have recently elected to change jobs.
 

Please take a few moments to complete the survey.  The Commonwealth will use the information gathered from employment change surveys to enhance recruitment and retention efforts.  The information contained in this survey is confidential unless the information disclosed reveals harassment or other illegal or discriminatory activity.  Reports of such activities will be provided to the proper authorities for investigation.

Part 1:  Your NEW Job


How did you find out about your new job? (Please select all that apply.)

Current Employee  Bulletin Board
JobNet      Agency Website
Internal Agency Announcement or
      Electronic Communication 		Other (Please Specify)
  

Choosing from the factors listed below, please rank in order up to five factors that influenced your decision to choose your current job, with factor #1 being the most important, factor #2 the second most important, etc.

  Reasons why you chose your NEW job:   
  Promotion
  Type of and/or Variety of Work
  Transfer to a Civil Service Position
  Working Conditions
  Availability of Parking/Transportation
  Length of Commute
  Gain New/Expand Work Experience		 Future Promotional Opportunities
Career Change
Transfer to Non-Civil Service or Senior Management Position
Work Hours/Schedule
Location of Work Site
Training/Development Opportunities
Organization/Agency Mission
  Union MembershipOther (Please Specify)
       

Factor # 1

  Other:

Factor # 2

  Other:

Factor # 3

  Other:

Factor # 4

  Other:

Factor # 5

  Other:
 

Part 2:  Your PREVIOUS Job


Of the factors listed below as a reason why you chose to leave your previous job, please rank in order up to five factors that influenced your decision, with factor #1 being the most important, factor #2 the second most important, etc. 
 

  Reasons why you chose to leave your PREVIOUS job
  Lack of Promotional Opportunities Work Hours/Schedule
  Type of and/or Lack of Work Variety Lack of Meaningful Work/Challenging Work Assignments
  Excessive Workload Not Enough Work
  Lack of Feedback on Work Results/Ideas Lack of Meaningful Performance Evaluations
  Ineffective Management or Supervision Conflict with Management or Supervision
  Lack of Recognition of Work Talents were Not Utilized
  Discrimination Sexual Harassment
  Career Change Transfer out of a Non-Civil Service Position
  Lack of Parking/Transportation Location of Work Site
  Poor Morale Conflict with Co-Workers
  Attention Not Given to Suggestions Poor Communication
  Lack of Overtime Too much Overtime
  Poor/Unsafe Working Conditions Poor Safety/Security
  Unhealthy Work Environment Lack of Availability of Resources
  Staffing Challenges/Under Staffed Introduction of New Technology/Systems

Lack of Training/Development Opportunities

 Too Much Work Related Travel

Favoritism/Lack of Fairness

 Other (Please Specify)
       

Factor # 1

  Other:

Factor # 2

  Other:

Factor # 3

  Other:

Factor # 4

  Other:

Factor # 5

  Other:

If you indicated discrimination or sexual harassment as a reason why you chose to leave your previous job, please identify the basis for your allegation by selecting from the following:

Race
Religious Creed
Union Membership
Gender
Gender Identity or Expression
Disability or Perceived Disability

 Color
Ancestry
Age 
Sexual Orientation
National Origin

If you left your previous job due to alleged discrimination or sexual harassment, you are strongly urged to report the matter to the Agency EEO Officer, Human Resource Director, or other designated official.  For further information contact the Office of Administration, Bureau of Equal Employment Opportunity at 717-783-1130.

What would have influenced your decision to stay in your previous job?

Part 3:  Commonwealth Employment Selection System


What is your highest education level? 


If you attained post-high school education, which of the following categories most closely identifies your major course of study? 
 
Please tell us if you are a:    Civil Service Employee    Non-Civil Service Employee
 
Please respond to the following questions based on your Civil Service or Non-Civil Service status.
 
Rate the ease of having access to available job opportunities (e.g., postings, job net)
        Very easy    Easy     Difficult    Very difficult

 

Rate the ease of completing and submitting the appropriate job application.
        Very easy    Easy    Difficult    Very difficult

   

If you selected 'Difficult' or 'Very Difficult' for either of the questions above, please explain:
 

Part 4:  Additional Comments


Please provide any additional comments, suggestions, and/or recommendations you have regarding your Commonwealth employment.