EXIT INTERVIEW
PRIVATE & CONFIDENTIAL
We would like to improve our personnel practices and make <Company> a better place to work. We hope that
you could give your cooperation in answering the questionnaire sincerely.
Name: Date:
Job Title: Department:
Hire Date: Resignation Date:
1. Why were you first interested in being a part of this Company?
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2. Please select the reason for your resignation (You may tick more than one).
[ ] Encountering challenges with work
[ ] Issues with Management / HOD / Supervisor / Colleagues
[ ] Pursuing other opportunities
[ ] Others :
3. Did you feel that you were equipped to do your job well?
[ ] Yes [ ] No
Please clarify:
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4. Were you given clear goals and objectives?
[ ] Yes [ ] No
Please clarify:
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5. Do you think your job has changed since you started?
[ ] Yes [ ] No
Please clarify:
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6. Did you share any of the concerns discussed here with the company before deciding to leave?
[ ] Yes [ ] No
Please clarify:
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7. How do you think the Management could improve? Please provide details of areas and reasons.
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8. How would you describe the culture of our company?
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9. Would you recommend your friends to work in <Company>?
[ ] Yes [ ] No
State reasons:
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10. Other comments:
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Signature: Date:
FOR OFFICE USE
Interviewer’s Comment:
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Signature:
Date: