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Exit Interview Form

The document is an exit interview form designed to gather feedback from departing employees. It includes questions about the reasons for leaving, suggestions for improvement, and the employee's overall experience with the company. The form also assesses the employee's perception of their treatment, feedback received, and the work environment.

Uploaded by

satya ranjan sahoo
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7 views3 pages

Exit Interview Form

The document is an exit interview form designed to gather feedback from departing employees. It includes questions about the reasons for leaving, suggestions for improvement, and the employee's overall experience with the company. The form also assesses the employee's perception of their treatment, feedback received, and the work environment.

Uploaded by

satya ranjan sahoo
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Exit Interview

Employee Name

Employee Code

Designation

Joining Date

Reporting To

Date of Interview

Q 1: Why are you leaving the company?

Ans: _______ _

______

Q 2: What suggestions for improvement do you have for us?

Ans _______

_________________________

Q 3: If we implement those suggestions, would you return to work here?

YES NO

Q 4: Would you recommend this company to your friends as a good place to work?

YES NO
Strongly Somewhat Somewhat Strongly
For the following questions please choose:
agree agree disagree disagree
I believe that I was treated like a valuable member
5
of the company.

Please explain if you want to.

I received positive feedback from my immediate


6
supervisor when I was doing a good job.

Please explain if you want to.

I felt free to suggest to my supervisor changes that


7
would improve my project / department.

Please explain if you want to.

8 My job duties and responsibilities were clearly


defined.

Please explain if you want to.

I received the proper training in order to perform


9
my job effectively.

Please explain if you want to.

Employee problems and complains were solved


10
fairly and promptly in my department

Please explain if you want to.

11 If I have questions or concerns, I felt comfortable speaking with:


My immediate supervisor
Senior management
Human resources

Please explain if you want to.

12 I was kept well informed about company's policies


and procedures or other important information.

Please explain if you want to.

I felt that the company provided me with a good


13
work environment
Please explain if you want to.
14 Please list any additional benefits that you have wanted the company to offer

15 Additional comments and suggestions:

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