EXIT INTERVIEW QUESTIONNAIRE To be completed by Department Head after interviewing Employee within 48 hours of resignation being received

Name Function Date of resignatio n

Designation Level

REASON FOR LEAVING a) Higher monetary benefits b) More challenging job opportunities c) No perceived growth d) Hours of work e) Better physical conditions f) Relations with - Superior - Colleagues - Subordinates g) Companys performance and future prospects h) Health reasons i) Domestic situations j) Others (specify)

ADDITIONAL COMMENTS Please give us your perception of the organization on the following factors on a four point scale. 1 Highly Dissatisfactory; 2 Dissatisfactory; 3 Satisfactory; 4 Highly Satisfactory Role Clarity - You were clear what was expected of you - You had authority appropriate with responsibility - You had information on matters that impact your job Recognition - You got respect and reward for a well done job Compensation package was competitive Training & Development - You got on the job training to do the job - Opportunity for career growth and development Organizations concern for its employees welfare Climate of openness and trust Quality of leadership of senior management Spirit of cohesiveness and team work Any suggestions for improvement

If you could tell your HOD one thing, what would it be

What advantages does your new job have over the one you are leaving?

In your opinion what are the major strengths & weaknesses of the organization?

Department Heads inputs on employees feedback on all aspects of his job/ function/ organization: Could the resignation have been prevented; if yes how?

What actions were taken to prevent this resignation?

Remarks & Signatures of Department Head

Name:___________________________ Designation: ____________________ Signature: ________________________ Date: __________________________ Remarks & Signatures of the HR Representative

Name: ___________________________ Designation: ____________________ Signature: ________________________ Date: __________________________ Remarks & Signatures of the Principal

Name: ___________________________ Designation: ____________________ Signature: ________________________ Date: __________________________