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Exit Questionnaire

This exit interview questionnaire asks an employee leaving their position at LSTC about their reasons for resigning and experience working there. It inquires about the timing of their decision, factors influencing their resignation like salary or job advancement, specific issues prompting it, their ratings of training, relationships, compensation and benefits, workload and satisfaction. It also asks if they would recommend LSTC as an employer and potentially reapply themselves. The questionnaire is intended to gather feedback from the resigning employee on their employment experience.

Uploaded by

Rafael Renz Dayao
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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205 views

Exit Questionnaire

This exit interview questionnaire asks an employee leaving their position at LSTC about their reasons for resigning and experience working there. It inquires about the timing of their decision, factors influencing their resignation like salary or job advancement, specific issues prompting it, their ratings of training, relationships, compensation and benefits, workload and satisfaction. It also asks if they would recommend LSTC as an employer and potentially reapply themselves. The questionnaire is intended to gather feedback from the resigning employee on their employment experience.

Uploaded by

Rafael Renz Dayao
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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EXIT INTERVIEW QUESTIONNAIRE

Employee Name: ____________________ Supervisor Name: __________________

Initial employment date: ______________ Last date of employment: ____________

Current position: ____________________________________


1. At approximately what point in time did you begin making your decision to resign?
6-9 months ago 3-5 months ago
1-2 months ago other ________________
_________________________________________________________________________
2. Please indicate reason(s) below, which contributed to your decision to resign your
current position?
Salary Family Responsibilities
Job Advancement Dissatisfied/Management
Personal Benefits
Return to School Job Eliminated
Relocation Other – (please explain) ________________
Health Retirement Military
3. Was there a specific event of issue that prompted your resignation?
Yes No
If yes, please briefly explain:
_________________________________________________________________________
If yes, did you discuss this matter with your supervisor/manager?
Yes No
_________________________________________________________________________
On a scale of 1 to 5, with “1” being poor and “5” being outstanding, please rate the
following:
4. Quantity and quality of training received for your position(s) here at LSTC.
1 2 3 4 5
_________________________________________________________________________
5. Working relationship with your current supervisor.
1 2 3 4 5
_________________________________________________________________________
6. Working relationship with fellow employees.
1 2 3 4 5
_________________________________________________________________________
7. Salary for your position.
1 2 3 4 5
8. Employee Benefits package.
1 2 3 4 5
Please offer any comments or suggestions for improvement related to the Benefits
package.
_________________________________________________________________________
9. Overall workload for your position.
1 2 3 4 5
10. Overall satisfaction and enjoyment in your current position.
1 2 3 4 5
_________________________________________________________________________
11. Did you encounter any problems in your current position? Yes No
If yes, please briefly comment:
12. ________________________________________________________________________
_
13. What did you enjoy most about your employment with LSTC?
_________________________________________________________________________
14. What did you enjoy least about your employment with LSTC?
_________________________________________________________________________
15. Based upon your experiences here, would you recommend LSTC as a potential employer
for your friends, relatives, etc.? Yes No

If no, please briefly explain:


_________________________________________________________________________
Would you reapply to LSTC if a future opportunity arose? Yes No

If no, please briefly explain:


_________________________________________________________________________
Please add any additional comments:
_________________________________________________________________________

Exit interview conducted by: ____________________

Date/Time: _________________

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