Exit Interview



Employee Exit Interview

(To be filled out by Employee)

Date: _________________

Name: ____________________________ Job Title: ________________________

Supervisor: _________________________ Length of Employment: _______________

1. What are your reasons for leaving? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Would you describe your working relationship (with respect to both your particular job and your relationship with fellow workers) as pleasant or unpleasant?

_________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

3. Are there any particular practices or working conditions that either led to your decision to resign or that you feel are detrimental to a satisfactory working relationship? If so, have you any suggestions on how to eliminate them?

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

4. Are there any particular practices or working conditions that you feel are particularly beneficial to an effective working relationship and that should be maintained?

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

5. How would you rate your supervisor?

Excellent Good Average Fair Poor

5 4 3 2 1

6. Did you feel you were reimbursed (paid) adequately and fairly?

Excellent Good Average Fair Poor

5 4 3 2 1

7. How would you rate the training and inservicing you received here?

Excellent Good Average Fair Poor

5 4 3 2 1

8. How did you feel about your hours of work?

Excellent Good Average Fair Poor

5 4 3 2 1

9. How did management resolve any grievances you might have had?

Excellent Good Average Fair Poor

5 4 3 2 1

10. Would you care to make any other comments?

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

11. Your forwarding address: ____________________________________________

__________________________________________________________________

Signed: _________________________________ Date: _____________________

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download