Hi Suchandra,
Exit Interview Form
Employee Name ________________________________
Resignation/Termination Date _______________ (to be filled by HR only
Employee ID __________________________________
(to be filled by HR only)
Department ______________________ Designation______________________
Reason for Resignation/Termination:
[ ] Voluntary / Involuntary
[ ] Another Position
[ ] Personal Reasons
[ ] Relocation
[ ] Retirement
[ ] Return to School
[ ] Better Remuneration
[ ] Dissatisfaction
(options below to be filled by HR only)
[ ] Position Eliminated
[ ] Violation of Company Policy [ ] Attendance
[ ] Lay Off [ ] Reorganization
Questionnaire
1. What are your primary reasons for leaving?
__________________________________________________ ________________________________________
__________________________________________________ ________________________________________
__________________________________________________ ________________________________________
2. Did you find the job satisfying? If not please the reasons.
__________________________________________________ ________________________________________
__________________________________________________ ________________________________________
__________________________________________________ ________________________________________
3. What did you find most 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. Were you satisfied with your colleagues/supervisor? If not Please state a situation or reasons.
__________________________________________________ ________________________________________
__________________________________________________ ________________________________________
__________________________________________________ ________________________________________
7. Is there anything the company could have done to prevent you from leaving?
__________________________________________________ ________________________________________
__________________________________________________ ________________________________________
__________________________________________________ ________________________________________
8. Please state your own suggestions towards improvement/betterment of the company.
__________________________________________________ ________________________________________
__________________________________________________ ________________________________________
__________________________________________________ ________________________________________
Employee’s Comments:
Signature of the Employee- Date:-
HRD Representative’s Comments:
Eligible for Rehire [ ] Yes [ ] No
(to be filled by HR only)
Name & Signature of the HRD representative- Date:-
Is this you are looking......
Rdgs,
Rinky