Exit Interview FormEmployee Name Employee codeDivision DesignationDate of Joining Date of leaving1. Reasons for leaving (Please specify reasons in the space below the applicable factors)

a) Work-relatedi. Work Environment: Excellent / Very Good / Good / Satisfactory / Poorii. Job Satisfaction: Excellent / Very Good / Good / Satisfactory / Pooriii. Support from your Immediate Manager: Excellent / Very Good / Good / Satisfactory / Pooriv. Rapport with your colleagues: Excellent / Very Good / Good / Satisfactory / Poorv. Management Style: Courteous / Helpful / Problem Solvingvi. Training Provided: Excellent / Very Good / Good / Satisfactory / Poorvii. Infrastructure Provided: Excellent / Very Good / Good / Satisfactory / Poorb) Better Prospectsi. What will be your new designation and role?ii. Are you taking up additional responsibilities?iii. Have you got a better compensation, if so how much?iv. Which platform are you going to work on?v. Have you received any overseas work opportunities? If so, which is the place of work?vi. Which is your field of interest? Are you planning for further studies, if so, in which field?vii. Are you planning to relocate, if so to which place?

c) Personal Reasonsi. Financial Constraintii. Relocation to Hometowniii. Further Studiesiv. Better Work Atmospherev. Marriagevi. Family Problem

2. What circumstances would have prevented your departure? (Please specify reasons inthe space below the applicable factors)

i. Better Work Atmosphereii. Better Guidance and Support from your Supervisoriii. Better Employee Interactioniv. Additional Support from the Managementv. Better Compensation and Benefitvi. Additional Roles and Responsibilitiesvii. Additional Employee Benefitsviii. Advanced Training in your Field

3. What did you like most about your job?

4. What did you like least about your job?5. What did you think of your supervisor on the following points?

AlmostAlwaysUsuallySometimesNeverWas consistently fair[ ][ ][ ][ ]Provided recognition[ ][ ][ ][ ]Resolved complaints[ ][ ][ ][ ]Was sensitive to employeeneeds[ ][ ][ ][ ]Provided feedback onperformance[ ][ ][ ][ ]Was receptive to opencommunications[ ][ ][ ][ ]

6. How would you rate the following?

ExcellentGoodFairPoorCooperation within yourdivision/program[ ][ ][ ][ ]Cooperation with otherdivisions[ ][ ][ ][ ]Personal job training[ ][ ][ ][ ]Equipment provided(materials, resources,facilities)[ ][ ][ ][ ]Company’s performancereview system[ ][ ][ ][ ]Company’s employeeorientation program[ ][ ][ ][ ]Rate of Pay for your Job[ ][ ][ ][ ]CareerDevelopment/AdvancementOpportunities[ ][ ][ ][ ]Physical Working Conditions[ ][ ][ ][ ]

7. Was the work you were doing what you expected it to be?

[ ] Yes [ ] NoComments:

8. Was your workload usually: