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Exit Interview Feedback Form Template

The document is an exit interview for an employee leaving their position. It asks the employee to select their reasons for leaving from options like higher pay, better career opportunities, or conflicts. It then has the employee rate statements about their job circumstances, remuneration and benefits, work environment and company culture, line manager, and management on scales from strongly disagree to strongly agree. It asks for comments on potential improvements in each area.

Uploaded by

Muhammad kashif

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0% found this document useful (0 votes)

22 views3 pages

Exit Interview Feedback Form Template

Uploaded by

Muhammad kashif

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as DOCX, PDF, TXT or read online on Scribd

▌Exit Interview

Employee Name:
Position:
Date of interview:

What are the reasons for leaving?

Select one or more:

Higher pay Better benefits Better career opportunity

Work environment Career change Closer to home

Conflict with other employees Conflict with managers Family and/or personal reasons

Company culture Other

■ Comments

Please rank the following:

▌The Job Circumstances

Strongly Disagree Neutral Agree Strongly

Disagree Agree

Job was challenging

There were sufficient opportunities for

advancement

Workload was manageable

Sufficient resources and staff were available

Your colleagues listened and appreciated your

suggestions

Your skills were effectively used

You had access to adequate training and

development programs

■ What do you think can be improved about the job?

▌Exit Interview

▌Remuneration & Benefits

Strongly Disagree Neutral Agree Strongly

Disagree Agree

The salary was adequate in relation to

responsibilities

Other benefits were good

Work-life balance was promoted and practiced

■ What improvements, other benefits could the company offer?

▌Work Environment and Company Culture

Strongly Disagree Neutral Agree Strongly

Disagree Agree

Communicated clearly about its mission, vision,

values and goals

Was a good and positive environment to work in

Had adequate equipment to do the work

Got on well with other staff within the company

Treated employees fairly and with respect

The company was efficient in its dealings

Internal communication worked well

There was no bullying or harassment

There are adequate facilities provided

The business did not discriminate against any

employee

■ What do you think can be improved about the Work environment and culture?
▌Exit Interview

▌ Line Manager Relation

Strongly Disagree Neutral Agree Strongly

Disagree Agree

Had sufficient knowledge of the job

Is experienced in supervision

Was open to suggestions and feedback

Recognised and acknowledged

achievements/contribution

Supported my learning and development

Treat Team members fairly and with respect

Provided constructive feedback

Clearly communicated management decisions and

how they would effect your work

Maintained a professional relationship with you

■ What are your suggestions or improvements to your Supervisor

▌Management

Strongly Disagree Neutral Agree Strongly

Disagree Agree

Gave fair and equal treatment

Was available to discuss job related issues

Encouraged feedback and suggestions

Maintained consistent policies and practices

Provided recognition for achievements

Gave opportunities to develop

Provided constructive feedback

Clearly communicated decisions and how they

would effect your work

■ What are your suggestions or improvements to Management?

Thank you for completing this information. Your responses will be treated with total confidence.

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Exit Interview Feedback Form Template

Uploaded by

Exit Interview Feedback Form Template

Uploaded by

▌Exit Interview

What are the reasons for leaving?

Higher pay Better benefits Better career opportunity

Work environment Career change Closer to home

Company culture Other

Please rank the following:

Strongly Disagree Neutral Agree Strongly

Job was challenging

There were sufficient opportunities for

Workload was manageable

Sufficient resources and staff were available

Your colleagues listened and appreciated your

Your skills were effectively used

You had access to adequate training and

■ What do you think can be improved about the job?

▌Remuneration & Benefits

Strongly Disagree Neutral Agree Strongly

The salary was adequate in relation to

Other benefits were good

Work-life balance was promoted and practiced

■ What improvements, other benefits could the company offer?

▌Work Environment and Company Culture

Strongly Disagree Neutral Agree Strongly

Communicated clearly about its mission, vision,

Was a good and positive environment to work in

Had adequate equipment to do the work

Got on well with other staff within the company

Treated employees fairly and with respect

The company was efficient in its dealings

Internal communication worked well

There was no bullying or harassment

There are adequate facilities provided

The business did not discriminate against any

▌ Line Manager Relation

Strongly Disagree Neutral Agree Strongly

Had sufficient knowledge of the job

Was open to suggestions and feedback

Recognised and acknowledged

Supported my learning and development

Treat Team members fairly and with respect

Provided constructive feedback

Clearly communicated management decisions and

Maintained a professional relationship with you

■ What are your suggestions or improvements to your Supervisor

Strongly Disagree Neutral Agree Strongly

Gave fair and equal treatment

Was available to discuss job related issues

Encouraged feedback and suggestions

Maintained consistent policies and practices

Provided recognition for achievements

Gave opportunities to develop

Provided constructive feedback

Clearly communicated decisions and how they

■ What are your suggestions or improvements to Management?

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