Exit Interview Feedback Form Template

EXIT INTERVIEW FORM Employee Name Division / Dept. Termination Date 1. Why are you leaving this Organization? Immediate Head Job Title Termination Date 2. What circumstances would have prevented your departure? 3. What did you like most about your job? 4. What did you love least about your job.

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Exit Interview Feedback Form Template

Uploaded by

sundarichitra

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

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

EXIT INTERVIEW FORM

Employee Name Immediate Head

Division / Dept. Job Title
Hire Date Termination Date

1. Why are you leaving this Organization?

2. What circumstances would have prevented your departure?

3. What did you like most about your job?

4. What did you like least about your job?

5. How would you rate the following?
Excellent Good Fair Poor
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:

6. What suggestions do you have to make this organization a better place to work?

Human Resources Representative: Employee:

Date: Date:

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Exit Interview Feedback Form Template

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Exit Interview Feedback Form Template

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EXIT INTERVIEW FORM

Employee Name Immediate Head

1. Why are you leaving this Organization?

2. What circumstances would have prevented your departure?

3. What did you like most about your job?

4. What did you like least about your job?

Human Resources Representative: Employee:

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