HONG LAM MARINE PTE LTD Rev No: y22/01
Ref: Office Staff Management Pages: 1/3
Form No. & Title: (02-12-O) Exit Interview Form Date: 25.01.22
Exit Interview Form
Employee Name: Job Title:
Line Manager: Department:
Date of Join: Date of Leaving:
1. Please select the statement below that best describe your reason for leaving employment with us:
Better Compensation / Benefits End of Contract, Assignment/Retirement
Career Advancement / Change Poor Working Conditions / Environment
Lack of Training & Development Family / Personal / Health Reasons
Opportunities
Job Dissatisfaction Conflict with Supervisor / Colleagues
Poor Management / Supervision Others :____________________
2. Please rate the following statement on a scale of 1 to 4, with 1 being strongly disagree and 4 being
strongly agree:
(A) JOB NATURE
1. My job offers me many opportunities to use my abilities. 1 2 3 4
2. The workload and pace of work is manageable. 1 2 3 4
3. I am given recognition for my work. 1 2 3 4
4. My job exposes me to many things and allows me to enrich my 1 2 3 4
knowledge.
5. I derive satisfaction from my work 1 2 3 4
(B) CAREER ADVANCEMENT / TRAINING & DEVELOPMENT
1. There are sufficient opportunities for career advancement in the 1 2 3 4
Company.
2. The Company provides training & development to improve my skills 1 2 3 4
& work knowledge.
3. I feel that the Company supports training and emphasizes on 1 2 3 4
training.
4. Through the training, I have the necessary skills and knowledge to 1 2 3 4
enable me to do my job well.
(C) IMMEDIATE SUPERIOR
Bus
ine 1. My superior is approachable and always available when needed. 1 2 3 4
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HONG LAM MARINE PTE LTD Rev No: y22/01
Ref: Office Staff Management Pages: 2/3
Form No. & Title: (02-12-O) Exit Interview Form Date: 25.01.22
2. My superior gives me the proper guidance needed in my work. 1 2 3 4
3. My superior is fair with his / her staff. 1 2 3 4
4. My superior gives me regular feedback on my performance and 1 2 3 4
helps me to improve on areas of weakness.
5. My superior is supportive and often shows appreciation for a job 1 2 3 4
well done.
(E) COMPANY & MANAGEMENT
1. The Company is concerned about my welfare and safety. 1 2 3 4
2. The Management is open and receptive to employees’ ideas and 1 2 3 4
suggestions.
3. The Management makes expectations and goals of the company 1 2 3 4
clear.
(F) REWARD SYSTEM (SALARY AND BENEFITS)
1. My salary commensurate with my duties, responsibilities, 1 2 3 4
experience and qualifications
2. My salary is on par (if not above) the market and other similar 1 2 3 4
position in the industry.
3. I am satisfied with the company’s benefits (such as annual leave, 1 2 3 4
medical benefits & etc.).
4. Our annual increment is competitive with the industry and fairly 1 2 3 4
reflects my performance.
3. What would you suggest to improve your current position/ department/ division?
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
4. What will you miss most about Hong Lam Marine when you leave?
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
5. Would you consider working again for this company in the future? Why?
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
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HONG LAM MARINE PTE LTD Rev No: y22/01
Ref: Office Staff Management Pages: 3/3
Form No. & Title: (02-12-O) Exit Interview Form Date: 25.01.22
Interview conducted by: Acknowledge by:
Name & Signature Employee’s Name & Signature Date of exit interview
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