Employee Exit Interview Template - Free Download
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Thank you for your candid comments. All responses will be kept confidential.
DIVISION / UNIT:
START DATE WITH ORGANIZATION:
START DATE IN POSITION:
TOTAL LENGTH OF SERVICE:
OTHER POSITIONS HELD WITH ORGANIZATION:
Please describe the primary reason(s) you are leaving your current position.
Did dissatisfaction with any of the following factors influence your decision to
Type of work
Working conditions (setting, schedule, travel, flexibility)
Cost of living in area
Please rate the following aspects of the job you are vacating. Use the 1 – 5 scale below.
Type of work performed
Fairness of workload
Tools and equipment provided
Level of input in decisions that