EXIT INTERVIEW

Name : _____________________________Employee Code _______________________

Address For Correspondence : _______________________________________________

__________________________________Phone No:_____________________________

Better Compensation
Better Growth Opportunities
Higher Education
Work Related Issues (Please Specify): _______________________________________________
Personal Reasons (Please Specify): __________________________________________________
Others (Please specify): _______________________________________________

Did you know what was expected of you at work?	Yes/No
Did you have the materials and equipment to do your work right?	Yes/No
At work, did you have the opportunity to do what you did best every day?	Yes/No
In the last seven days, have you received recognition or praise for doing good work?	Yes/No
Does your supervisor, or someone at work, seem to care about you as a person?	Yes/No
Is there someone at work who encourages your development?	Yes/No
At work, do your opinions seem to count?	Yes/No
In the last six months, has someone at work talked to you about your progress?	Yes/No
In the last year, have you had opportunities to learn and grow?	Yes/No

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Any other relevant information/suggestions which, you feel will help make Company Name a better place to work.

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Name of the interviewer Signature of the interviewer Date of interview

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