Exit Interview

Please take a moment and complete the following questionnaire. We regret losing an employee and hope that through this questionnaire we can identify problem areas and rectify undesirable situations. This form will not become a part of your personnel file, and will not affect your rehire status. Your cooperation is appreciated.

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1. Reason for leaving? *
1. Other Position
2. If you are leaving for a new position what makes it more attractive than the one you are leaving? *
2. Opportunities/Advancement
3. How would you rate the following?
Performance Reviews
D. Poor
Comments
Opportunity for Advancement
D. Poor
Comments
Training Received
D. Poor
Comments
Company Policies and Practices
C. Fair
Comments
Responsibilities
C. Fair
Comments
Hours
C. Fair
Comments
Support by Management
D. Poor
Comments
Work Load
D. Poor
Comments
Salary
D. Poor
Comments
Benefits
D. Poor
Comments
Are there any additional benefits you would like to receive?
No
4. Did your Supervisor:
Demonstrate fair and equal treatment?
B. No
Comments
No to much Favoritism
Provide recognition on the job?
B. No
Comments
Keep employees well informed?
B. No
Comments
Make themselves available for discussion of any problems or potential problems?
B. No
Comments
Encourage feedback?
B. No
Comments
Explain the position and responsibilities of the job you held?
B. No
Comments
5. What is your opinion of the job you had with us?
No comment
6. What were some of the frustrations you experienced in the performance and execution of job responsibilities?
No comment
7. Would you be willing to stay with our Company under a more satisfactory arrangement?
B. No
What changes would be required?
No comment
Overall Comments
No comment
Form Status: Approve

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Date 2023-08-02
Deny Re-take Approve

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