Exit Interview Form

The document is an exit interview form designed to gather feedback from departing employees regarding their reasons for leaving, suggestions for improvement, and their experiences within the organization. It includes questions about the employee's immediate head, job satisfaction, workload, and recommendations for the company. The form also allows for additional comments and feedback to help the organization understand employee departures better.

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Exit Interview Form

Uploaded by

anuraglakha

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Download as DOC, PDF, TXT or read online on Scribd

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EXIT INTERVIEW FORM

Employee Immediate
Name Head
Division /
Job Title
Dept.
Date of
Date of
resignation /
joining
leaving

1. Why are you leaving this Organization?

2. What circumstances would have prevented your departure?

3. Your suggestions on the areas of improvement for the organization

4. What did you like least about your job?

5. What did you think of your immediate head on the following points?
Sometim
Almost Always Usually
es Never
Was consistently fair ( ) ( ) ( ) ( )
Provided recognition ( ) ( ) ( ) ( )
Resolved complaints ( ) ( ) ( ) ( )
Was sensitive to employees' needs ( ) ( ) ( ) ( )
Provided feedback on performance ( ) ( ) ( ) ( )
Was receptive to open
( ) ( ) ( ) ( )
communication
6. How would you rate the following?
Excellen
Good Fair Poor
t
Cooperation within your
( ) ( ) ( ) ( )
division/department
Cooperation with other
( ) ( ) ( ) ( )
divisions
Personal job training ( ) ( ) ( ) ( )
Company's performance review
( ) ( ) ( ) ( )
system
Company's new employee
( ) ( ) ( ) ( )
orientation program
Rate of pay for your job ( ) ( ) ( ) ( )
Career
development/Advancement ( ) ( ) ( ) ( )
opportunities
Physical working conditions ( ) ( ) ( ) ( )
Comments:

7. Was the work you were doing close to your expectations?

( ) Yes ( ) No
Comments:

8. Was your workload usually:

( ) Too heavy ( ) About right ( ) Too light

9. What as per you would have been the comfort factor, for you to
deliver 100%?

10. Would you like to recommend the company a suitable candidate in

your place
( ) Most definitely ( ) With reservations ( ) No

Comments:
11. Any particular issue, you may like to highlight?

12. How can the company retain you with the organization? Your
feedback?

13. Would you like to be associated with the company in future and
how?

14. For any other points you can attach a separate sheet.

Name
Signature:

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Exit Interview Form

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Exit Interview Form

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EXIT INTERVIEW FORM

1. Why are you leaving this Organization?

2. What circumstances would have prevented your departure?

3. Your suggestions on the areas of improvement for the organization

4. What did you like least about your job?

7. Was the work you were doing close to your expectations?

8. Was your workload usually:

10. Would you like to recommend the company a suitable candidate in

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