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Exit Interview Survey
 

Employee Exit Interview

Exit interviews are conducted with employees just before they leave. Departing employees often provide more objective feedback than employed staff do when answering staff surveys. The exit interview allows the employee to provide constructive feedback which can be helpful to the employer and the remaining employees. Exit interviews provides information to the employer to facilitate organizational change, assess the working environment, development, processes, and relationships between workers, suppliers, customer, and management.

The exit interview survey provides management with an early warning for turnover and assists in recruitment and retention efforts. We appreciate your feedback so that any problems or trends can be identified and possibly be resolved.
 

Employee Information

1. Employee Information

First Name 
Last Name 
Department 
 

2. How long have you been considering leaving the company?

  1 month or less   2 - 6 months   7 - 12 months   More than 1 year 
 

3. Please indicate if any of the following are the main reasons that influenced your decision to leave this company?

  

Other 
 

4. How satisfied were you with each of the following?

 Very SatisfiedSatisfiedNeutralDissatisfiedVery Dissatisfied
Advancement Opportunities
Wages
Medical Benefits
Other Benefits (paid time off, 401(k), etc.
Work environment
Work schedule
Company sponsored social events
 

5. How did you feel about your job?

 Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
I was given sufficient time to complete work
I was given proper tools and equipment to complete work
My skills and experience were being put to good use
Sufficient training was provided
There were opportunities for advancement
Work was interesting
Coworkers treated me with respect
Management treated me fairly
My work was appreciated
The workplace was safe
 

6. What did you like most about this job?


 

7. What did you like least about this job?


 

Supervisor

8. How did you feel about your supervisor?

 Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
My supervisor is competent in their job
My supervisor is knowledgeable
My supervisor assisted me with my job
My supervisor made sure I had enough training
My supervisor was an effective manager
I was able to communicate well with my supervisor
I received sufficient feedback about my performance from my supervisor
I respected my supervisor
 

Department

9. How did you feel about your department?

 Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
My department worked efficiently
My department had sufficient personnel
My department had sufficient tools and equipment
My department worked well with other departments
My department workload was distributed fairly
 

Management

10. How did you feel about the management?

 Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
Management planned ahead
Management provided clear policies and rules
Management consistently applied policies and rules
Management was effective addressing job related issues
Management was effective addressing non-job related activities
Management was receptive to my ideas
Management always treated me with respect
 

11. Overall, how satisfied were you working for this company?

 

12. Would you consider working for this company in the future?

  Yes   No 
 

13. Would you recommend this company to a friend or colleague?

  Yes   No 
 

14. Comments or Suggestions