Exit Interview
Name:EID:
Department: Position:
Join Date:Last Working Date:
The purpose of this questionnaire is to help the company determine reasons for employee turnover.The company appreciates your efforts in answering these questions frankly and your answer 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 two parts to this form, the first, simple questions, the second, give suggestion for changes of improvement.Please rate according to the appropriate tables.
These questions will help us addre areas that need improvement in our company.Please rate your reactions according to the following point system.
TABLE FOR EVALUATIN OF ELEMENTS
(5)
(4)
(3)
(2)
(1) Excellent Good Satisfactory Fair Poor
() How would you rate this company as a place to work?
() What is your overall view of the company’s policies 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 pay provide by the Company?
() How would you rate the training you received?
() Were you given enough information, in the early stages of your employment, about the
Company, such as benefits, practices and policies, organization, orientation, etc?
134337181.doc p.1 of 2
() 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 feel about management’s willingne to hear complaints and make changes?
() How do you rate your supervisor willingne 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 superior?
() How would you rate the spirit of cooperation and teamwork among the employees in
your department?
Please give suggestion/recommendation on what area(s) the company need to improve and please state your opinion in detail.
If reason for leaving is another job, please provide:
Company Name:Job Title:
Interview By:Date:
134337181.doc p.2 of 2
