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Exit Interview Questionnaire Template

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0% found this document useful (0 votes)
16 views3 pages

Exit Interview Questionnaire Template

Uploaded by

Isswaryah
Copyright
© All Rights Reserved
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

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?

_____________________________________________________________________________________

_____________________________________________________________________________________

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:

_____________________________________________________________________________________

_____________________________________________________________________________________

4. Were you given clear goals and objectives?

[ ] Yes [ ] No

Please clarify:

_____________________________________________________________________________________

_____________________________________________________________________________________

5. Do you think your job has changed since you started?


[ ] Yes [ ] No

Please clarify:
______________________________________________________________________________________

______________________________________________________________________________________

6. Did you share any of the concerns discussed here with the company before deciding to leave?

[ ] Yes [ ] No

Please clarify:

_____________________________________________________________________________________

_____________________________________________________________________________________

7. How do you think the Management could improve? Please provide details of areas and reasons.

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

8. How would you describe the culture of our company?

_____________________________________________________________________________________

_____________________________________________________________________________________

9. Would you recommend your friends to work in <Company>?

[ ] Yes [ ] No

State reasons:

_____________________________________________________________________________________

_____________________________________________________________________________________

10. Other comments:

_____________________________________________________________________________________

_____________________________________________________________________________________

Signature: Date:
FOR OFFICE USE

Interviewer’s Comment:

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Signature:

Date:

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