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Exit Interview Feedback Form

The document is an exit interview form designed to gather feedback from departing employees regarding their reasons for resignation, job satisfaction, and suggestions for workplace improvement. It includes sections for rating various aspects of the company experience and questions about resources, recommendations, and potential re-employment. The form also captures basic employee information and is to be completed by the employee and the interviewer.

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0% found this document useful (0 votes)

10 views2 pages

Exit Interview Feedback Form

Uploaded by

sayalimutkule27

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 FORM

Employee Name Designation

Employee Code Location

Date of Joining Date of Relieving

1. Please highlight (in yellow) the Primary reasons for your resignation from given below:

Job Insecurity Salary & Benefits

Job profile Lack of recognition
Dissatisfaction with superiors Location constraint
Health reasons Work environment
Relationship with peer’s Personal reasons
Other (Please mention) –

2. Please amplify with reasons:

3. What was most satisfying about your job?

4. What would you like to improve to make our workplace better?

5. How do you rate the following as per your experience in the Company?
Please highlight the option you find appropriate, in yellow.

Excellent Fair Good Poor

Co-operation within the team Excellent Fair Good Poor

Co-operations between departments Excellent Fair Good Poor

Relationship with the superior Excellent Fair Good Poor

On the job Training Excellent Fair Good Poor

Physical working conditions Excellent Fair Good Poor

Compensation Excellent Fair Good Poor

Company Policies Excellent Fair Good Poor

Facilities provided by the Company Excellent Fair Good Poor

6. Do you feel you had the resources & support necessary to accomplish your job?
Yes No

7. Would you recommend working in this Company to your family & friends?
Yes No

8. Would you consider working again for this Company in the future?
Yes No

___________________________________________________________________________
Exit Interview conducted by:
Conducted on date:
Employee Signature:

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Exit Interview Feedback Form

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Exit Interview Feedback Form

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EXIT INTERVIEW FORM

Employee Name Designation

Employee Code Location

Date of Joining Date of Relieving

Job Insecurity Salary & Benefits

2. Please amplify with reasons:

3. What was most satisfying about your job?

4. What would you like to improve to make our workplace better?

Excellent Fair Good Poor

Co-operation within the team Excellent Fair Good Poor

Co-operations between departments Excellent Fair Good Poor

Relationship with the superior Excellent Fair Good Poor

On the job Training Excellent Fair Good Poor

Physical working conditions Excellent Fair Good Poor

Compensation Excellent Fair Good Poor

Company Policies Excellent Fair Good Poor

Facilities provided by the Company Excellent Fair Good Poor

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