Exit Interview Form: Private & Confidential

This exit interview form collects information from an employee leaving their current job. It asks for their name, job details, reason for leaving which can be for a new job, pay, benefits or other personal reasons. It inquires about what they found most and least satisfying about the job, whether expectations were met, feedback received and suggestions for their manager. Finally, it questions what it takes to succeed at the company, any issues and what they liked or disliked, as well as if they would consider returning in the future.

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Exit Interview Form: Private & Confidential

Uploaded by

Anna

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

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Private & Confidential

Exit Interview Form

Name of employee Job title/department Immediate supervisor

Date of hire Last day of work Length of service

Reasons for leaving (You may select more than 1 reason)

☐ Meaningful job responsibilities in new company

☐ Better compensation offered by new company
☐ Better staff welfare and benefits in new company
☐ Opportunity to work overseas
☐ Long working hours in current job
☐ Wrong job fit in current position
☐ Unable to get along with immediate supervisor
☐ Family commitment
☐ Return to home country
☐ Retirement
☐ Services terminated by company
☐ Others (specify) _________________________________

What is your primary reason for leaving? Did anything trigger your decision to leave?

What was most satisfying about your job? What was least satisfying about your job?

Did your job duties turn out to be as you expected? What would you change about
your job?
Private & Confidential
Did you receive adequate support to do your job? What feedback did you receive
about your performance?

What could your immediate supervisor do to improve his or her management style?

Based on your experience with us, what do you think it takes to succeed at this
company?

Did any company policies or procedures (or any other obstacles) make your job more
difficult?

What did you like most about this company? What did you like least about this
company?

What does your new company offer that this company doesn't?

Would you consider working for this company again in the future? Why?

To be completed by HR
Interview conducted by Date of exit interview Is the employee eligible for rehire?

☐ Yes
☐ No (state reason)

Reason:

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