Personal Information

Name of the employee : Organisation : Department : Date of Joining : Designation : Grade : Last Date of Employment :

Please Select appropriate age category : Under 21 21-25 26-30 31-40 Above 41

Please select the appropriate experience (in KNP ) : 0-2 3-5 6-10 11-15 Above 15

What were your performance ratings of the last 4 years Year 1 Year 2 Year 3 Year 4 A A A A B B B B C C C C D D D D

Reasons for the leaving the company 4 - High Relevance 3 - Some Revenace Reason for Leaving 1 2 3 4 5 6 7 8 10 11 12 13 Job Security No clear career path Lack of job satisfaction Inadeqaute pay & increments Inadeqaute Training & Development Unfair Treatment Personal Problem Lack of recognition Long working hours Stressful Job Career Growth Working Conditions 2 - Little Relevance 1 1. No Relevance 2 3 4

What was the occasion that prompted you to take this decision?

Could the company have done anything to encourage you to stay?

How was your relationship with boss? OK Good Excellent Bad Poor

In comparison to your current assignment, in what way your new assignment is preferable? 1 Compensation 2 Career Opportunities