Employee Exit Interview
Thank you for taking the time to provide your feedback through this short exit interview form. This exit interview form is intended to gather your views, opinions and thoughts about your departure.
Please give us your feedback by answering the exit interview form from below.
Your name
Your supervisor's name
Department you worked for
Your position in the department
What made you leave the company?
Wanted more money
Wanted a new challenge
Medical benefits
Other benefits
Quality of supervision
Work environment
Personal reasons
Other (please specify)
Did our company help you to fulfill your career goals?
Yes
No
We would appreciate a detailed reason for your leaving.
If you were to give us some suggestions for improvement, what would those be?
If we implement those suggestions, would you reconsider?
Yes
No
Maybe
Would you recommend this company as a good place to work?
Yes
No
Maybe
Submit the Exit Interview Form
