Exit Interview Form_English
2
COMPANY NAME Exit Interview Your opinion is important to us. Name: _________________________________ Supervisor: ______________________________ Department: ________________________ Position: ______________ Emp ID: _______ Date of Joining: ___________________ Date of Confirmation: ___________________ 1. Why are you leaving the company? Personal Reason Compensation & Benefits Quality of Supervision Work Environment 2. Please explain your reason(s) for leaving in more detail. 3. What circumstances would have prevented your departure? 4. What did you like most about your job? 5. What did you like least about your job? COMPANY LOGO
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Transcript of Exit Interview Form_English
COMPANY NAME
Exit InterviewYour opinion is important to us.
Name: _________________________________ Supervisor: ______________________________
Department: ________________________ Position: ______________ Emp ID: _______
Date of Joining: ___________________ Date of Confirmation: ___________________
1. Why are you leaving the company? Personal Reason
Compensation & Benefits
Quality of Supervision
Work Environment
2. Please explain your reason(s) for leaving in more detail.
3. What circumstances would have prevented your departure?
4. What did you like most about your job?
5. What did you like least about your job?
6. What did you think of your supervisor on the following points:
Criterion
Below Expectati
on
Meets Expectatio
ns
Role Model
1 2 3 4 5
Consistently FairProvides recognition
Resolve complaintsSensitive to employee needs
Provides feedback on performance
Friendly to open communication
Follows company policies
COMPANY LOGO
7. What Suggestions do you have for our improvements?
8. If we implemented those suggestions, would you return to work here? Yes No
9. Would you recommend this company to your friends as a good place to work? Yes No
In this section, departing employee will rate the following statements:
Strongly
disagree
Somewhat
disagree
Somewhat
agree
Strongly
agree
10. Do you believe that you were treated like a valuable member of the company?
1 2 3 4
11. Were your job duties and responsibilities clearly defined?
1 2 3 4
12. Did you receive the proper training required to perform your job effectively?
1 2 3 4
13. Whom did you feel comfortable speaking with If you had questions or concerns:
Upper Management 1 2 3 4
Human Resources 1 2 3 4
14. Were you kept well informed about the company, its policies and procedures, and other important information?
1 2 3 4
15. Did you feel that the company provided you with job security? 1 2 3 4
16. Please list any additional benefits that you would have wanted the company to offer:
Additional Comments and Suggestions are encouraged.
Interviewee:
Name :
Sign & Date :
Interviewer:
Name :
Sign & Date :
