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Volunteer Exit Survey
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Franklin County Department of Public Safety • 1488 Franklin Street • Rocky Mount, VA 24151 • 540-483-3091
Choose the group that closest matches your age.
*
-- Select One --
17 or younger
18-20
21-29
30-39
40-49
50-59
60 or older
What is your gender? (optional)
Female
Male
What is your race? (optional)
-- Select One --
White
Black or African American
American Indian or Alaskan Native
Asian
Native Hawaiian or other Pacific Islander
Multiple Races
Where did you serve as a volunteer? (check all that apply)
*
Boones Mill Fire - EMS
Burnt Chimney Fire Department
Callaway Fire Department
Callaway Rescue Squad
Ferrum Fire Department
Ferrum Rescue Squad
Fork Mountain Fire Department
Fork Mountain Rescue Squad
Franklin County Public Safety Cadre
Franklin County Rescue Squad
Glade Hill Fire Department
Glade Hill Rescue Squad
Henry Fire Department
Red Valley Rescue Squad
Scruggs Fire - Rescue
Snow Creek Fire Department
Snow Creek Rescue Squad
In what capacity were you a volunteer in Franklin County?
*
Fire Suppression
Emergency Medical Services
Other
If other, please specify.
How long did you volunteer in Franklin County?
*
-- Select One --
Less than 1 year
1 - 3 years
4 - 6 years
7 - 10 years
11 - 19 years
20 - 29 years
30 years or greater
In a typical month, about how many hours did you volunteer?
*
Why did you initially decide to begin volunteering?
*
Help the community and others
Increase my self-esteem
Trying out a possible career
Career Development
Resume enhancement
Develop new skills
I wanted to do something I would enjoy
Other
If other, please specify
Which of the following were important in influencing your decision to leave?
*
Lack of time
Relocation/moving
Family demands/changes
Career or job demands/changes
Financial hardship
Issues with the organization
Issues with career personnel
Training requirements too stringent
Too few training opportunities
Uncomfortable atmosphere/environment
Attitude of existing personnel
Lack of support from existing members
Lack of camaraderie/espirit de corps
Not my decision to leave (e.g. termination, forced resignation, etc...)
Other
If other, please specify
Overall, I rate the leadership of the station as:
*
Poor
Fair
Good
Excellent
Overall, how satisfied were you with your volunteer experience with this organization?
*
Extremely dissatisfied
Moderately dissatisfied
Slightly dissatisfied
Neither satisfied nor dissatisfied
Slightly satisfied
Moderately satisfied
Extremely satisfied
How likely are you to recommend this organization to others as a place to volunteer?
*
Extremely likely
Very likely
Moderately likely
Slightly likely
Not at all likely
What incentives would have potentially helped you remain active as a volunteer?
*
Increased stipend
Volunteer awards/recognition program
Volunteer retirement system
Reduced local taxes
No incentives would have kept me volunteering
Other
If other, please specify
What did you enjoy most about your role as a volunteer?
What did you enjoy least about your role as a volunteer?
Do you plan to volunteer with a fire or EMS agency again in the future?
Yes
No
Maybe
I would like a representative from Human Resources to contact me to further discuss my volunteer experience.
Yes
No
Contact Info
If you would like to be contacted, please provide your name and the preferred contact information.
Name
Email Address
Address
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Zip Code
Phone Number
Cell Number
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