Exit Feedback Form
*The purpose of this questionnaire is to help the company determine reasons for employee turnover. The company appreciates your efforts in answering these questions truthfully and your answers will not be used as part of any decision regarding future re-employment. Also, nothing in this form will be revealed to any other company. There are three parts to this form, the first - an element evaluation, the second - simple questions, the third - essay questions. Please rate according to the appropriate table.
Resignation Effective Date
I. Element Evaluation
The table below is designed to measure which areas of concern were most important to you in your decision to leave the company, the higher the number, the more weight given.
(5) Most Important Reason
(3) Has some bearing in my decision
(2) Very little influence
(1) Not involved in decision
Relationship with Managers
Relationship with TLs; Supervisor
Hours of Work
These questions will help us address areas that need improvements in our company. Please rate your reactions according to the following points system: (5) Excellent (4) Good (3) Satisfactory (2) Fair (1) Poor
How would you rate this company as a place to work?
What is your overall view of the company's policy and procedures?
How do you rate the working conditions and physical facilities?
Compared with other companies, how do you rate our benefits package?
How do you feel about the management's willingness to hear complaints and make changes?
How would you rate the initial training you received?
How do you rate subsequent training opportunities to improve your skills and opportunities?
How well did you understand the performance standards you were expected to meet?
How well were you informed about changes that affected your work?
How much of a chance do you feel you had to develop your full potential?
How do you rate your supervisor's willingness to answer questions and help solve problems?
To what extent were you encouraged to offer suggestions and improvements?
What level of respect did you hold for your supervisor?
How would you rate the spirit of cooperation and teamwork among the employees in your department?
Please rate the following based on how you have experienced them within the duration of your stay with Pen Brothers. You may refer to the guide provided below. Likewise, kindly provide a substantial written assessment to support the rating. (1) Extraordinary (2) Very Good (3) Good (4) Fair (5) Marginal (6) No basis
Relationship with peers (rate and describe)
Relationship with immediate supervisor (rate and describe)
Relationship with the department you belong (rate and describe)
View of the over-all management group and the dynamics it bring (rate and describe)
View of general employee behavior, facilities and working conditions (rate and describe)
View of dynamics and levels of communication within the organization (rate and describe)
Please provide answers as truthfully as possible. Everything written here will be held with the strictest confidentiality and shall be used as company reference in fine-tuning systems and procedures and for the continuous development of better working environment for its employees.
If there are future opportunities for you within Pen Brothers and the client, would you consider working for the company again?
Reason For Leaving
Should be Empty: