HR-12350 Revised 2022
Exit Interview
Employee Resignation Date
______________________ ______________________
Name
Employee ID ______________________ Date of Joining ______________________
Job Title ______________________ Region/Project /Department ______________________
Current Salary ___________________ Line Manager ______________________
Reason for Resignation
[ ] Better Position
[ ] Personal Reasons
[ ] Relocation
[ ] Retirement
[ ] Return to Province
[ ] Other_______________
Employee Comments:
Human Resources Department Comments:
____________________
Employee's Signature ____________________ Date:
____________________ Date: ____________________
Interviewer's Signature
Questionnaire
1. What are your primary reasons for leaving?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
2. What did you find most satisfying about your job?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
3. What did you find most unsatisfying/frustrating about your job?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
4. Were there any company policies or procedures that made your work more difficult?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
5. Would you consider returning to this company in the future?
_______________________________________________________________________
_______________________________________________________________________
6. Would you recommend this company to a friend as a good place to work?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
7. Is there anything the company could have done to prevent you from leaving?
_______________________________________________________________________
_______________________________________________________________________
Name:_____________________ Signature: _____________ Date:__________