Employee Exit Interview Template - Free Download
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Employee Exit Interview Template
Employee Exit Interview Template
Thank you for your candid comments. All responses will be kept confidential.
NAME:
JOB TITLE:
DIVISION / UNIT:
START DATE WITH ORGANIZATION:
START DATE IN POSITION:
SEPARATION DATE:
TOTAL LENGTH OF SERVICE:
OTHER POSITIONS HELD WITH ORGANIZATION:
1.
Please describe the primary reason(s) you are leaving your current position.
2.
Did dissatisfaction with any of the following factors influence your decision to
leave
YES
NO
Type of work
Working conditions (setting, schedule, travel, flexibility)
Pay
Supervisor
Location
Cost of living in area
Commute
3.
Please rate the following aspects of the job you are vacating. Use the 1 5 scale below.
5
Excellent
Type of work performed
Fairness of workload
Salary
Working conditions
Tools and equipment provided
Training received
Co-workers
Supervision received
Level of input in decisions that
affected you
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