Exit Interview Form
Employee’s Name: ______________________________________________________
Employee’s Title: _______________________________________________________
(Rays Power Infra Ltd) requests that you take the time to answer the questions below. Your
honesty is appreciated, and all responses will be held in confidence.
1. What was the length of your employment?
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2. What are your reasons for leaving?
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3. What did you like about your job?
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4. What did you dislike about your job?
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5. Were you satisfied with your career progression? If not, why?
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6. Were you satisfied with your salary/benefits?
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7. Were you satisfied with your supervisor and how would you describe your relationship with
your supervisor?
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8. How would you describe your working relationship with your co-workers?
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9. Do you have you any suggestions on how to improve working conditions here?
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10. Do you have any suggestions or recommendations?
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Name of Employee: ____________________________________
Date of Departure: ____________________________________
HR Representative: ____________________________________