Exit Interview Questionnaire Template

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Exit Interview Questions

Please take ten minutes to answer the following exit interview questions honestly. This exit interview questions will not become part of your personnel file and will be treated confidentially. We will use the exit interview questions and answers to analyze our employee retention strategy and identify any issues that need to be addressed.

Name:	Manager:
Position:	Date of Employment:
Department:	Date of Separation:

Why did you decide to look for another job?

[ ] Family Reasons	[ ] Working Conditions
[ ] Type of Work	[ ] Lack of Recognition
[ ] Company Culture	[ ] Compensation or Benefits
[ ] Quality of Supervision	[ ] Business Direction
[ ] Seeking Career Advancement Opportunities	[ ] Other: ______________________

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

If “yes”, please describe what you did:

Rate your supervisor in the following areas:

	Almost always	Sometimes	Never	Comments
Treated people fairly and equally
Recognized good work
Encouraged teamwork and cooperation
Allowed a collaborative environment and listened to suggestions
Resolved complaints promptly
Followed the company’s practices and policies

Rate your job in the following areas:

	Excellent	Good	Fair	Poor	Comments
Teamwork within your department
Working well with other departments
Communication within your department
Communication within the company overall
Communication with your direct supervisor or manager
Department morale
Job satisfaction
Effectiveness of training
Potential for growth

How would you rate your workload:

[ ] Too heavy
[ ] Varied, but a managable amount
[ ] A manageable amount
[ ] Too light

How would you rate your benefits and pay?

	Excellent	Good	Fair	Poor	Comments
Base Salary
Commission Rate
Medical Plan
Dental Plan
Vision Plan
401K Plan
Life Insurance
Paid-time-off
STD/LTD Plan
Stock Options
Other

If had the chance to suggest additional benefits, what would you find helpful?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

Any other thoughts about the benefits?

Did you receive enough feedback about your performance? How often did you receive feedback?

Did you find the performance review process helpful? What would you change about it? _________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

Was your manager aware of your career goals? Did they discuss ways to reach those goals?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

What were the best aspects of your job and the company?

What were your least favorite aspects of your job and the company? _________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

What makes your new job more attractive than your current one?

What makes your new company more attractive than this one

In what ways can this company improve? Have you offered these suggestions in the past?

Would you recommend this company to family and friends as a good place to work?
[ ] Yes, definitely [ ] Yes, but with caveats [ ] No

Please share any other thoughts or suggestions you have for this company.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

Exit Interview Questions Sample Template Download

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