EXIT INTERVIEW FORM - UAE NATIONAL
Employee Name: Employee No:
Designation: Branch / Work Location:
Email Address: Department:
Mobile No: Nationality:
1. What prompted you to start looking for another Job?
a. Better Prospects (If better prospects, kindly fill the below details as well)
i. Name of the new employer: ________________________
ii. Offered Salary: ________________________
iii. New Designation: ________________________
iv. Job Type (Full time/Flexi hours): ________________________
b. Grievance issue due to:
Work environment Work timings Line Manager
Salary Work location Others. Please Specify_______
c. Family Commitment, please specify: ____________
d. Health Condition f. Return to home country
e. Further studies g. Relocation to other country. Please specify______
2. During your employment, how satisfied were you with the following:
Very Satisfied Average Unsatisfied
a. Working Arrangements (shifts, on-call, etc.)
b. Job Role
c. Salary & Benefits
d. Promotion Opportunities
e. Colleagues / Co-workers
f. Company Culture
g. Department Head
h. Senior Management
i. Policies & Procedures
j. Training & Development
3. Did you feel like a valuable part of the company?
_______________________________________________________________________________________
4. Do you think you should have had more working tools for your job role?
__________________________________________________________________________________________________________
5. Were the company policies difficult to understand?
_______________________________________________________________________________________
6. Do you think management adequately recognized your contributions? If not, how do you think recognition could be
improved?
__________________________________________________________________________________________________________
Exit Interview Form AAA-FM-173-01, Dec 2022
HR & Administration Department Page 1 of 2
7. If you are given a rehire option would you like to join us back? Yes No
8. Will you recommend Al Ansari Exchange with your friends? Yes No
9. What did you find most satisfying about your job and the organization (specify at least three)?
1)_______________________________________________________________________________________________________________
2)_______________________________________________________________________________________________________________
3)_______________________________________________________________________________________________________________
10. What were the most difficult challenges you have encountered in your daily tasks in the organization (specify at least
three, if any)?
1)_______________________________________________________________________________________________________________
2)_______________________________________________________________________________________________________________
3)_______________________________________________________________________________________________________________
11. How would you describe a perfect candidate to replace you?
____________________________________________________________________________________________
12. Other feedback / remarks suggestions:
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
Signature: ____________________________________________ Date: _________________
Exit Interview conducted by: __________________________ Date: _________________
Exit Interview Form AAA-FM-173-01, Dec 2022
HR & Administration Department Page 2 of 2