Departure from GRBS form "*" indicates required fields We are sorry to hear you have or will be leaving our team. Please fill this 5-minute survey.Name* First Last Employee PIN* Location (auto-fill from pin - or enter manually)* HiddenDistrictSelect District53 OPS63RD DISTRICT COURTBAY CITYBELDINGBRANCHES-CENTRALBRANCHES-GRBRANCHES-NEBRANCHES-NORTHBRANCHES-SEBRANCHES-SOUTHBYRON CENTERCALEDONIACOMSTOCK PARKDEWITTDOLINKAEAST GRAND RAPIDSFERRIS STATEFREMONTGARDEN CITYGR ROUTEGRPSHASTINGSHOLLANDHOPE NETWORKHOPE NETWORK GRHORIZON GRAND RAPIDSHORIZON HOLLANDIONIAIRS BUILDINGKALAMAZOO SWROKALAMAZOO TSCKISDL-3 COMMUNICATIONSLAKEVIEWLAKEVIEW BCLIGHTHOUSELOWELLMADISON CHURCHMDOS COLDWATERMDOS HILLSDALEMDOS KALAMAZOOMONROE COMMUNITY CHURCHMUSKEGON DHSMUSKEGON TSCNORTHVILLEOFFICEOKEMOSPARADIGMPONTIACPORTAGEPORTLANDPRATT INDUSTRIESPRGXSTATE OF MI PAW PAWSTIFEL FINANCIALSUMMIT POLYMERTHERMAL TECHTRADE CENTERTRI-COUNTYVICKSBURGWAYLANDWNJWOLVERINE COILYMCAZEELANDEmail (auto-fill from pin) PhoneHiddenSupervisor First Last Superviser Manager Manager Email If your manager or location are missing or incorrect: Check here Correct Manager / Location What shift were you on?* First Second Third How many hours were you working per week?* Were you in a benefits eligible position?* Yes No Last Scheduled Day of Work MM slash DD slash YYYY Where will you be working or what field are you going into?* What is your new hourly pay rate?*What is your main reason for leaving?*Please check at least one but no more than 3 reasons. Wages Benefit Cost/Package Vacation Pay/Holiday Pay Amount of hours/shift Transportation to or from work site Co-worker behaviors Supervisor/Manager behaviors Lack of supplies or equipment Equipment not functioning Other How did your wages impact your decision to leave GRBS?* HiddenAssign Wages FollowUpSelectBen HallBeth RountreeDispatch DeskGregory SchrammJodi SwendrowskiKaitlyn DiplockKimberly CramptonTerry SteversonHiddenWages FollowUp Email How did the Benefit/Cost Package impact your decision to leave GRBS?* HiddenAssign Benefits FollowUpSelectBen HallBeth RountreeDispatch DeskGregory SchrammJodi SwendrowskiKaitlyn DiplockKimberly CramptonTerry SteversonHiddenBenefits FollowUp Email How did the Vacation Pay/Holiday Pay impact your decision to leave GRBS?* HiddenAssign Vacation FollowUpSelectBen HallBeth RountreeDispatch DeskGregory SchrammJodi SwendrowskiKaitlyn DiplockKimberly CramptonTerry SteversonHiddenVacation FollowUp Email How did the amount of hours/shift impact your decision to leave GRBS?* HiddenAssign Hours FollowUpSelectBen HallBeth RountreeDispatch DeskGregory SchrammJodi SwendrowskiKaitlyn DiplockKimberly CramptonTerry SteversonHiddenHours FollowUp Email How did transportation to or from the work site impact your decision to leave GRBS?* HiddenAssign Transportation FollowUpSelectBen HallBeth RountreeDispatch DeskGregory SchrammJodi SwendrowskiKaitlyn DiplockKimberly CramptonTerry SteversonHiddenTransportation FollowUp Email How did co-worker behaviors impact your decision to leave GRBS?* HiddenAssign Co-Workers FollowUpSelectBen HallBeth RountreeDispatch DeskGregory SchrammJodi SwendrowskiKaitlyn DiplockKimberly CramptonTerry SteversonHiddenCo-Workers FollowUp Email How did supervisor/manager behaviors impact your decision to leave GRBS?* HiddenAssign Supervisor/Mgr FollowUpSelectBen HallBeth RountreeDispatch DeskGregory SchrammJodi SwendrowskiKaitlyn DiplockKimberly CramptonTerry SteversonHiddenSupervisor/Mgr FollowUp Email How did the lack of supplies or equipment impact your decision to leave GRBS?* HiddenAssign Supplies FollowUpSelectBen HallBeth RountreeDispatch DeskGregory SchrammJodi SwendrowskiKaitlyn DiplockKimberly CramptonTerry SteversonHiddenSupplies FollowUp Email How did the equipment not functioning impact your decision to leave GRBS?* HiddenAssign Equipment FollowUpSelectBen HallBeth RountreeDispatch DeskGregory SchrammJodi SwendrowskiKaitlyn DiplockKimberly CramptonTerry SteversonHiddenEquipment FollowUp Email You selected "other", please explain your reason for leaving.* HiddenAssign Other FollowUpSelectBen HallBeth RountreeDispatch DeskGregory SchrammJodi SwendrowskiKaitlyn DiplockKimberly CramptonTerry SteversonHiddenOther FollowUp Email Possible ways I would reconsider staying or returning to GRBS?*Please check at least one but no more than 3 ways. Location closer to my home Higher Pay Rate Different benefit package or paid time off policies More or less hours, or a different shift Different GRBS leadership or team member behaviors Different customer behaviors Receiving the Supply/Equipment needs differently than you experienced Other What location might work?* What wage would meet this expectation?* What benefit package or paid time off policies would you prefer?* What hours or shift would work better?* Please explain your GRBS leadership or team member behavior issues.* Please explain your customer behavior issues.* Please list what Supply/Equipment problems you experienced.* Other, please explain* Is there anything else you feel we should know about your experience at GRBS? Any positive communication we can pass on to anyone before you leave?* Did you return your work shirts to avoid being charged? Yes No, I have not returned my shirts I returned my works shirts to:* If you had keys did you return them to avoid being charged? Yes No, I have not returned keys that were assigned to me. I did not have Keys assigned to me I returned my Keys to:* Ready to Submit Yes