Exit Interview Form
Please take the time to answer the following questions as honestly as possible. We believe that the information you provide is vital and will assist in analyzing the factors contributing to employee turnover. Your individual responses are treated as confidential and will not become part of your personnel file. Thank you for your cooperation.
What prompted you to resign?
Type of work
Lack of Recognition
Quality of Supervision
To Attend School
Other (Please specify)
What are your plans after leaving the company?
How long had you been considering leaving the company?
Less than one month
One to three months
Three to six months
More than six months
Before making the decision to leave, did you investigate the possibility of a change in the situation?
If yes, what options were considered?
What did you think of your supervisor with regards to the following?
Demonstrated fair and equal treatment
Provided recognition on the job
Developed cooperation and teamwork
Encouraged and listened to suggestions
Resolved complaints and problems
Followed policies and practices
How would you rate the following in relation to your job?
Cooperation within your location
Cooperation with other locations
Communication in your location
Communication within the company as a whole
Communication between you and your supervisor
Comments (if needed)
How satisfied were you with pay and benefits?
How satisfied were you with the potential for advancement?
What did you like most about working here?
Are there any changes which could have been made to prevent you from leaving?
If yes, what are they?
What suggestions do you have for improvement?
Other comments, if any?
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