EXIT INTERVIEW QUESTIONNAIRE
Name __________________________ Position _______________________
Date of Hire _____________________ Last day of work _______________
Territory/Division_________________ Superior’s Name_______________
As you leave the company, you have a unique perspective of the strengths and weaknesses of our
organization. Your honesty is greatly appreciated and your opinions are highly valued. If there is particular
item to which you do not feel comfortable responding, leave it blank and go on to the next. Thank you for
your time and effort.
A. Please check the response that best describes your feelings:
STRONGLY AGREE DISAGREE STRONGLY
AGREE DISAGREE
1. The work I was doing on the whole was approximately
what I originally expected to be doing.
2. My superiors demanded a lot of me than I thought they
would.
3. I wanted more responsibility than the company gave me.
4. The people I work with were interesting and stimulating.
5. Generally, my co-workers were friendly and supportive.
6. Overall, I was satisfied with the working conditions.
7. I had the necessary freedom to make my own decisions.
8. I would recommend the company to my friends as a good
organization to work for.
9. There was too much pressure on the job
10. I found my work load to be excessive.
11. I found my work to be interesting and challenging.
12. I was able to make good use of my skills and abilities.
13. I had ample opportunities for personal training and career
development.
14. I had ample opportunities to advance within the company.
15. I knew that if I performed well I would get ahead.
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16. My superior’s assessment of my strengths and
weaknesses are accurate.
17. I was satisfied with my stay.
18. Overall, our compensation and benefit package is good.
19. I received adequate support (materials, resources, etc.)
from the company.
20. I did not always find the company’s promotion policy a
fair one.
21. I had a way to discuss my concerns regarding company
policies.
22. I did not have easy access to my supervisor/manager.
23. My supervisor treated me fairly.
24. My supervisor supported me adequately.
25. My supervisor was generally sensitive to my needs.
26. My supervisor was willing to open to aid me in planning a
career path.
27. I got recognition for my good work.
28. My supervisor immediately corrected my mistakes.
29. I received ample training prior to assumption of my
responsibilities.
30. I clearly understood the company’s directions and
objectives.
B. Write your response on the space provided after each question. Feel free to expound
your answers on additional sheets of paper.
1. What is your primary reason for leaving?
2. Was a single event responsible for your decision to leave?
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3. What was most satisfying about your job?
________________________________________________________________________
________________________________________________________________________
4. What was least satisfying about your job?
________________________________________________________________________
________________________________________________________________________
5. What could your immediate superior do to improve his/her management style and skill?
________________________________________________________________________
________________________________________________________________________
6. What did you like most about the company?
________________________________________________________________________
________________________________________________________________________
7. What did you like least about the company?
________________________________________________________________________
_______________________________________________________________________
8. Do you have any recommendations regarding our compensation, benefits and other
reward and recognition efforts?
________________________________________________________________________
________________________________________________________________________
9. What can be done to make our workplace better?
________________________________________________________________________
________________________________________________________________________
10. Any other comments?
________________________________________________________________________
________________________________________________________________________
If you wish to talk with someone from Human Resources Department, how may we contact
you?
Telephone: _________________________
Email address: ______________________
Address: ___________________________
___________________________
___________________________
