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Member Exit Interview - Ohio Lions

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<strong>Member</strong>ship Development<br />

and Retention<br />

<strong>Member</strong> <strong>Exit</strong> <strong>Interview</strong><br />

Fellow Lion,<br />

The following questionnaire is designed<br />

to give an overall picture of what you felt were<br />

some of the reasons that made you decide to<br />

leave your <strong>Lions</strong> Club. The information<br />

gathered from this questionnaire will help with<br />

an overall evaluation of your club.<br />

NAME:_____________________________<br />

___<br />

Address:____________________________<br />

___<br />

___________________________________<br />

___<br />

Phone:______________________________<br />

__<br />

Club:_______________________________<br />

___<br />

Date<br />

Joined:______________________________<br />

__<br />

Sponsor:_____________________________<br />

__<br />

Your reason for leaving was:<br />

______Resigned, in good standing.<br />

______Transferred.<br />

______Dropped, non-payment of dues.<br />

______Dropped, non-attendance<br />

______Moved, non-payment of dues<br />

______Other.<br />

Your Leaving was due to:<br />

(May be more than one reason)<br />

____Did not feel part of the group.<br />

____Unclear about what <strong>Lions</strong> were before<br />

joining.<br />

____It cost too much to be a member.<br />

____The meeting place was poor.<br />

____The meeting time was not convenient.<br />

____Too much alcohol used by members.<br />

____Disorganized or lack of leadership.<br />

____Your contributions were ignored.<br />

____Cliquish behavior among members.<br />

____Philosophical differences.<br />

____Too many work activities.<br />

____<strong>Member</strong>s resisting change.<br />

____Lack of time on my part.<br />

____Spent too much time away from my family<br />

on club projects.<br />

____Not enough social events.<br />

____Improper (foul) language at meetings.<br />

____My spouse was not supportive.<br />

____Poor communications between members.<br />

Any other reasons:______________________<br />

_____________________________________<br />

If you are transferring because of your job, will<br />

you be joining a <strong>Lions</strong> Club at your new<br />

location?___________________________<br />

If not, why? _______________________<br />

How long were you in non-attending<br />

status?_________________________________.<br />

Did any club member/officer contact you about<br />

your non-attendance? ________________.<br />

Was this contact made in person or by<br />

mail?__________________________________.<br />

If you were dropped for non-payment of dues,<br />

was help offered to you from the club? ____<br />

If you resigned in good standing, what was<br />

your main reason? _____________________<br />

_______________________________________<br />

What is your overall feeling about your<br />

club?___________________________________


___________________________________<br />

____<br />

___________________________________<br />

____<br />

Thank you for taking the time to read<br />

this and for answering the questions.<br />

Name of <strong>Interview</strong>er:<br />

___________________<br />

Date of <strong>Interview</strong>:<br />

_____________________<br />

0<br />

EXITTEXT

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