EXIT INTERVIEW FORM
Employee Name: ___________________________
Separation Date: ___________________________
Position: ________________________
Department: _____________________
I. Questionnaire:
1. What is your main reason for leaving?
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2. Would you consider returning to work for this company in the future? If No, Why?
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3. What did you find most satisfying about your job?
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4. What did you find the most frustrating about your job?
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5. Were there any company procedures or policies that made your job more difficult?
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6. Would you recommend this company to a colleague or friend as a good place to work?
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7. What did you like most about your boss? What did you like least about your boss?
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8. Is there anything that the company or your manager could have done to prevent you from
leaving?
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9. Do you have any suggestions for how the company can improve satisfaction in your
position?
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II. Human Resource Comments (For HR use only):
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III. Remarks:
Name
Signature
Date
Resignee:
Interviewed
By:
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