Exit Interview Form
Employee Information
Name: Abdul Ahad
Employee ID:
Department: Human Resources
Position:
Date of Joining:
Date of Exit:
Interviewer:
Date of Interview:
Reason for Leaving
1. Please specify the reason for your decision to leave (tick one or more):
o Career Advancement
o Salary/Benefits
o Relocation
o Personal Reasons
o Work-Life Balance
o Job Satisfaction
o Management Issues
o Organizational Culture
o Health Reasons
o Other (Please specify): ________________________
Job Satisfaction
2. How satisfied were you with the following aspects of your job?
Very Very
Aspects Satisfied Neutral Dissatisfied
Satisfied Dissatisfied
Job Role and Responsibilities
Compensation and Benefits
Work Environment
Training and Development
Opportunities
Career Growth and Opportunities
Leadership and Management
Support
Feedback on Management
3. How would you rate your immediate supervisor/manager?
o Excellent
o Good
o Fair
o Poor
4. Did you feel supported by your manager?
o Yes
o No
o If no, please explain: ______________________________________________
Work Environment & Culture
5. Did you feel valued and respected as an employee?
o Yes
o No
6. How would you describe the overall work environment?
o Positive
o Neutral
o Negative
7. Any specific challenges or issues with the organizational culture?
o
Opportunities for Improvement
8. What did you like most about working at PIPD General Hospital?
o
9. What did you like least about working at PIPD General Hospital?
o
10. Any suggestions for improving the work environment or policies?
o
Re-employment
11. Would you consider returning to PIPD General Hospital in the future?
o Yes
o No
o If no, please specify why: ___________________________________________
Final Remarks
12. Any additional comments or feedback you would like to share?
o
Signature of Employee: ________________________
Signature of Interviewer: _____________________