EXIT INTERVIEW
FORM
Name of the Employee:
Employee ID:
Department:
Date of joining:
Date of Leaving:
Location:
1. Which are the top 5 factors that contributed to your decision to end your current
employment. (Check the ones applicable)
• Learning Opportunities
• Growth Opportunities
• Job
Responsibilities (Clarity/Ade
quacy)
• Work- life balance
• Appreciation / Recognition
• Working condition
• Relationship with superiors
• Relationship with peers
• Further education
• Personal Circumstances
• Any other, please specify
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2. What were the most and least satisfying aspects of your job?
3. Would you recommend the organization as a place of employment?
YES
NO
4. Given an opportunity in future would you like to join back the organization?
YES
NO
5. We believe that an employee leaving the organization will have an unbiased view of the
strengths & weakness of the organization. Please list three of each.
Strength Weaknesses
1. 1.
2. 2.
3. 3.
6. Do you have any suggestions that would make the organization a better place to work.
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