REPUBLIC OF THE PHILIPPINESBureau of Internal Revenue

Diliman, Quezon City

EXIT QUESTIONNAIRE / SURVEY FORM This Questionnaire seeks to determine your opinion on the services provided by the Bureau to its personnel and how this affects the fast turn-over of employees. As a retiring/resigning/transferring employee, we would like to request your assistance by providing us information on how the Bureau can further improve its services. Please provide the information below and feel free to state your comments and suggestions. Please be assured that your responses will be handled with strict confidentiality.

Annex A

REASON FOR LEAVING THE BUREAU (Please check):

[ ] To study

[ ] To transfer

[ ] To practice profession

[ ] To engage in business

[ ] To leave country in order to [ ] work abroad [ ] join spouse/family [ ] engage in business [ ] others

I. EMPLOYEE PROFILE

NAME:(Last Name) (First Name) (Middle Name)

AGE: SEX: CIVIL STATUS:

POSITION/ITEM:

RELIGION:

DESIGNATION:

HIGHEST EDUCATIONAL ATTAINMENT (Please check and specify level):

[ ] High School [ ] College Level [ ] College Graduate [ ] Master’s [ ] Post Graduate Course: Degree/Major

units earned

LICENSURE/CSC ELIGIBILITY

[ ] Lawyer [ ] CPA [ ] CSC Professional [ ] CSC-Sub-Prof. [ ] Others

(specify)

DATE DATE LENGTH OF SERVICE LENGTH OF SERVICEENTERED IN THE BIR SEPARATED FROM IN THE BIR IN THE GOVERNMENT

THE BIR

(Date) (Date) (No. of Years) (No. of Years)

MODE OF SEPARATION (Please check and state the reason)

[ ] RETIREMENT a. Compulsory b. Optional

[ ] DISABILITY DUE TO ILLNESS

[ ] RESIGNATION

[ ] TRANSFER

(Please state illness)

(Please indicate course/degree)

(Please state name of office)

(Please indicate profession or calling)

(Please specify nature of business)

(specify)

II. PLEASE ENCIRCLE THE NUMBER (1 to 4) THAT CORRESPONDS TO YOUR OPINION AND GIVE YOUR COMMENTS/SUGGESTIONS ON THE FOLLOWING:

1. Based on your qualifications, were you satisfied with the recent work/assignment that has been given to you before separation from the Bureau?

4 = Very satisfied 2 = Somewhat satisfied

3 = Most satisfied 1 = Not satisfied

Comments/suggestions:

2. Do you think that your salary and benefits received are at parallel to your position/ designation as a BIR employee?

4 = Very compensated 2 = Somewhat compensated

3 = Most compensated 1 = Not compensated

Comments/suggestions:

3. Did you benefit from the training/scholarship programs of the Bureau during your entire service?

4 = A lot 2 = A little

3 = Some 1 = None

Comments/suggestions:

4. In your own experience, are you satisfied with the recruitment and selection process of the Bureau?

4 = Very satisfied 2 = Somewhat satisfied

3 = Most satisfied 1 = Not satisfied

Comments/suggestions:

5. In your own experience, are you satisfied with the merit and promotion plan of the Bureau?

4 = Very satisfied 2 = Somewhat satisfied

3 = Most satisfied 1 = Not satisfied

Comments/suggestions:

6. Rate the work environment in BIR:

a. Office equipment

4 = Very Good 2 = Fair

3 = Good 1 = Poor

Comments/suggestions:

b. Office space 4 = Very Good 2 = Fair

3 = Good 1 = Poor

Comments/suggestions:

c. Information Technology 4 = Very Good 2 = Fair

3 = Good 1 = Poor

Comments/suggestions:

7. How do you assess the management support towards the BIR employees?

4 = Very Good 2 = Fair

3 = Good 1 = Poor

Comments/suggestions:

8. What can you say about the BIR services provided to taxpayers?

4 = Very Good 2 = Fair

3 = Good 1 = Poor

Comments/suggestions:

9. If given a chance, are you still willing to be re-employed by the Bureau? Why?

4 = Very much willing 2 = Somewhat willing

3 = Most willing 1 = Not willing

Comments/suggestions:

10. Would you recommend others to be employed in the Bureau? Why?

4 = Very much willing 2 = Somewhat willing

3 = Most willing 1 = Not willing

Comments/suggestions:

III. OTHER COMMENTS / SUGGESTIONS

- THANK YOU -