Exit Interview Questionnaire Template

Oct 3, 2024

[Company Name] Exit Interview Questionnaire

Employee Name: _________________________
Position/Title: __________________________
Department: __________________________
Last Day of Work: //________
Interviewer (if applicable): _____________________

Instructions:

Your feedback is valuable in helping us improve our workplace. Please answer the following questions honestly. Your responses will be kept confidential and will not affect any future references.

Section 1: Reason for Leaving

  1. What is your primary reason for leaving [Company Name]?

    • Career Advancement
    • Compensation
    • Relocation
    • Returning to School
    • Work Environment
    • Personal Reasons
    • Other: _______________________________

  2. Was there a specific event that prompted your decision?

Section 2: Job Satisfaction

  1. How satisfied were you with your job overall?

    • Very Satisfied
    • Satisfied
    • Neutral
    • Dissatisfied
    • Very Dissatisfied

  2. What did you like most about your job?

  3. What did you like least about your job?

Section 3: Work Environment and Culture

  1. How would you describe the work environment?

  2. Did you feel valued and recognized for your contributions?

    • Always
    • Often
    • Sometimes
    • Rarely
    • Never

  3. How effective was communication within your department and the company?

Section 4: Management and Leadership

  1. How would you rate your manager/supervisor?

    • Excellent
    • Good
    • Fair
    • Poor

  2. Did you receive adequate support and feedback from your manager?

    • Always
    • Often
    • Sometimes
    • Rarely
    • Never

  3. Suggestions for management improvement:

Section 5: Compensation and Benefits

  1. Were you satisfied with your compensation and benefits?

    • Very Satisfied
    • Satisfied
    • Neutral
    • Dissatisfied
    • Very Dissatisfied

  2. Comments on compensation and benefits:

Section 6: Professional Growth

  1. Did you have opportunities for professional development and advancement?

    • Yes
    • No

  2. Suggestions for improving career development opportunities:

Section 7: Company Policies and Procedures

  1. Were company policies and procedures clear and accessible?

    • Yes
    • No

  2. Comments on policies and procedures:

Section 8: Final Thoughts

  1. What could [Company Name] do to improve as an employer?

  2. Would you consider rejoining [Company Name] in the future?

    • Yes
    • No
    • Maybe

  3. Any additional comments or feedback:

Thank you for your time and contributions to [Company Name]. We wish you all the best in your future endeavors.

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