EXIT INTERVIEW FORM
NOTE:
We highly value your viewpoints on your work experience with Cargill. We aim for this information to not only help us build on its strengths but also become more conscious of its needs for improvement in specific areas. All of the
information that you will provide will be handled objectively and with utmost confidentiality.
EMPLOYEE NAME (Optional) : HIRING DATE:
POSITION TITLE & DEPT: DATE OF ACCEPTANCE OF RESIGNATION:
IMMEDIATE HEAD: EFFECTIVE DATE OF RESIGNATION:
What was your reason for Leaving the Company? (please check corresponding answer)
COMMENTS:
⃣ 1. Dis-satisfaction with Job
⃣ 2. Relocation
⃣ 3. Work Location
⃣ 4. Career Change
⃣ 5. Career Progression
⃣ 6. Continuation of Education
⃣ 7. Better Compensation & Benefits
⃣ 8. Health Condition
⃣ 9. Management concern
⃣ 10. Personal
STRONGLY AGREE AGREE NEUTRAL DISAGREE
I enjoyed my work activities ⃝ ⃝ ⃝ ⃝
I was challenged by my Job ⃝ ⃝ ⃝ ⃝
I was paid and rewarded fairly on my work ⃝ ⃝ ⃝ ⃝
My superior demonstrated fair treatment ⃝ ⃝ ⃝ ⃝
My superior gave clear instructions regarding my work,
assignment & other responsibilities
⃝ ⃝ ⃝ ⃝
I was recognized for my good performance ⃝ ⃝ ⃝ ⃝
My Job description accurately reflects my Job role &
responsibilities
⃝ ⃝ ⃝ ⃝
I was given honest and clear performance appraisal ⃝ ⃝ ⃝ ⃝
Upper management communicates well with employees ⃝ ⃝ ⃝ ⃝
I felt there opportunities for Career advancement ⃝ ⃝ ⃝ ⃝
I would recommend the Company as employer of choice
to my friends
⃝ ⃝ ⃝ ⃝
What Did you like most about your position, department & the Company?
What Did you like least about your position, department & the Company?
Any other Comments / Suggestions?
Name & Signature (Optional)