Thanks to visit codestin.com
Credit goes to www.scribd.com

Scribd
Upload
47 views2 pages

Exit Interview Form

This exit interview document collects information from an employee leaving their role. It asks the employee to provide their name, job details, hire and last day dates, and to return any company property. It then asks the employee to indicate how long they were in their role, their main reasons for leaving, and to rate communication within their department and the company. Finally, it asks the employee to provide comments on their job, possible improvements, what they enjoyed most, and what they would change given the opportunity.

Uploaded by

Septian Suharyadi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
47 views2 pages

Exit Interview Form

This exit interview document collects information from an employee leaving their role. It asks the employee to provide their name, job details, hire and last day dates, and to return any company property. It then asks the employee to indicate how long they were in their role, their main reasons for leaving, and to rate communication within their department and the company. Finally, it asks the employee to provide comments on their job, possible improvements, what they enjoyed most, and what they would change given the opportunity.

Uploaded by

Septian Suharyadi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 2

HMR | Exit Interview Page 1 of 2

Exit Interview Form


Employee Name Employee ID
Job Title District
Date of Hire Date of last day

Company Property Outstanding Advance / Report

1. How long were you in your most recent role (please thick)
□ More than 5 years
□ More than 2 years, but less than 5 years
□ More than 1 year, but less than 2 years
□ Less than 1 year

2. Please indicate in order of importance your main reasons for leaving your present post using
the box(es) below:
□ Domestic Commitment □ Lack of Communication
□ Ill Health □ Lack of Training
□ Hours □ Pay
□ Low Job Satisfaction □ Working Conditions
□ Workload/Stress □ Poor Career Prospects
□ Sex/Race discrimination □ Maternity
□ Early Retirement □ End of Contract
□ Retirement □ Temporary Contract Status
□ Personal Reasons

3. How would you rate communication within your department? (please thick)
□ Excellent □ Satisfactory
□ Good □ Poor

4. How would you rate communication within this company? (please thick)
□ Excellent □ Satisfactory
□ Good □ Poor

5. How could communication be improved?


______________________________________________________________________________

Rev. 1.0, 30 September 2019


HMR | Exit Interview Page 2 of 2

______________________________________________________________________________
6. How would you rate the training provided to do the job? (please thick)
□ Excellent □ Satisfactory
□ Good □ Poor
7. How could training be improved?
______________________________________________________________________________
______________________________________________________________________________

8. How could training be improved?


______________________________________________________________________________
______________________________________________________________________________

9. What did you enjoy most about your present job?


______________________________________________________________________________
______________________________________________________________________________

10. What would you change about your present post, given the opportunity? (other than salary)
______________________________________________________________________________
______________________________________________________________________________

11. How would you rate the training provided to do the job? (please thick)
□ At a higher salary
□ On the same salary
□ At a lower salary

12. Please provide details of your new remuneration package if happy to do so


______________________________________________________________________________
______________________________________________________________________________

13. Please provide any other comments on any aspect of your present post, or the Company which
you wish to make:
______________________________________________________________________________
______________________________________________________________________________

The HR Department may contact you to discuss your comments further, would this be acceptable?
□ YES
□ NO

Thank you for completing the questionnaire

Rev. 1.0, 30 September 2019

You might also like