Exit interview questionnaire

arunmuralymba

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EXIT INTERVIEW



Employee Name Supervisor

Division Job Title

Hire Date Termination Date


1. Why are you leaving Company?







2. What circumstances would have prevented your departure?





3. What did you like most about your job?





4. What did you like least about your job?





5. What did you think of your supervisor on the following points?

Almost Always Usually Sometimes Never

Was consistently fair ( ) ( ) ( ) ( )
Provided recognition ( ) ( ) ( ) ( )
Resolved complaints ( ) ( ) ( ) ( )
Was sensitive to employees' needs ( ) ( ) ( ) ( )
Provided feedback on performance ( ) ( ) ( ) ( )
Was receptive to open communication ( ) ( ) ( ) ( )

6. How would you rate the following?
Excellent Good Fair Poor

Cooperation within your division/program ( ) ( ) ( ) ( )
Cooperation with other divisions ( ) ( ) ( ) ( )
Company's performance review system ( ) ( ) ( ) ( )
Company's new employee orientation ( ) ( ) ( ) ( )
Rate of pay for your job ( ) ( ) ( ) ( )
Career development/Advancement ( ) ( ) ( ) ( )
Physical working conditions ( ) ( ) ( ) ( )

Comments:



7. Was the work you were doing approximately what you expected it would be?

Yes No

Comments:

8. Was your workload usually: Too heavy ( ) About right ( ) Too light ( )

9. Would you recommend the company to a friend as a good organization to work for?

Most definitely ( ) with reservations ( ) No ( )

10. What do you like most about the company?







11. What do you dislike most about the company?











12. What suggestions do you have to make this Company a better place to work?
















Human Resources Head Employee

Date: Date:
 
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