Exit Interview Questionnaire

{{company_name}}

{{company_address}}

Phone: {{phone}} | Email: {{email}} | Web: {{website}}

Exit Interview Questionnaire

Exit Interview Questionnaire

{{company_name}} {{company_address}} Phone: {{phone}} Email: {{email}} Website: {{website}}

Exit Interview Questionnaire

This questionnaire is designed to gather your valuable feedback regarding your employment at {{company_name}}. Your responses will help us understand your experience and identify areas for improvement. All responses will be treated with confidentiality.

A. Employee Information

Employee Name: {{employee_name}}

Employee ID: {{employee_id}}

Department: {{department}}

Position: {{position}}

Date of Employment: {{start_date}}

Last Day of Employment: {{end_date}}

B. Reason for Leaving

Please describe your primary reason(s) for leaving {{company_name}}:

__________________________________________________________________________________________________________________________________________________________________________________________________________

Are you moving to another position? If so, what is your new role and industry (optional)?

__________________________________________________________________________________________________________________________________________________________________________________________________________

What factors influenced your decision to leave? (e.g., compensation, career development, management, work-life balance, company culture, workload, location, other)

__________________________________________________________________________________________________________________________________________________________________________________________________________

C. Job Satisfaction and Experience

How satisfied were you with your job role and responsibilities?

Highly Satisfied / Satisfied / Neutral / Dissatisfied / Highly Dissatisfied

Did you feel adequately challenged and engaged in your work?

Yes / Mostly / Partially / Not Really / No

Were you provided with the necessary tools, resources, and training to perform your job effectively?

Yes / Mostly / Partially / Not Really / No

How would you describe the company culture at {{company_name}}?

__________________________________________________________________________________________________________________________________________________________________________________________________________

Were there opportunities for career growth and development within the company?

Yes / Some / Limited / No

How would you rate your relationship with your manager/supervisor?

Excellent / Good / Fair / Poor / Very Poor

How would you rate your relationship with your colleagues?

Excellent / Good / Fair / Poor / Very Poor

D. Compensation and Benefits

How satisfied were you with your overall compensation (salary, bonuses)?

Highly Satisfied / Satisfied / Neutral / Dissatisfied / Highly Dissatisfied

How satisfied were you with the benefits package (health insurance, leave, pension, etc.)?

Highly Satisfied / Satisfied / Neutral / Dissatisfied / Highly Dissatisfied

Do you believe your compensation and benefits were competitive with similar roles in the industry?

Yes / Somewhat / No

E. Management and Leadership

Did you feel your contributions were recognized and appreciated?

Always / Often / Sometimes / Rarely / Never

Did you receive regular and constructive feedback on your performance?

Always / Often / Sometimes / Rarely / Never

Did your manager communicate expectations clearly?

Always / Often / Sometimes / Rarely / Never

Do you believe the company's leadership effectively articulated the company's vision and goals?

Always / Often / Sometimes / Rarely / Never

F. Suggestions for Improvement

What did you like most about working at {{company_name}}?

__________________________________________________________________________________________________________________________________________________________________________________________________________

What did you like least about working at {{company_name}}?

__________________________________________________________________________________________________________________________________________________________________________________________________________

What suggestions do you have for improving the employee experience at {{company_name}}?

__________________________________________________________________________________________________________________________________________________________________________________________________________

Would you recommend {{company_name}} as an employer to others?

Yes / Probably / Unsure / Probably Not / No

G. Final Comments

Please provide any additional comments or feedback you would like to share:

__________________________________________________________________________________________________________________________________________________________________________________________________________

Signature

Employee Signature: ______________________________

Date: {{date}}

Interviewer Name: ______________________________

Interviewer Signature: ______________________________

Date: {{date}}