You are on page 1of 2

Firestorm Cafe & Books

Exit Interview
Please fill out all areas of this interview to better help us
understand your experience at Firestorm.

Worker Information
Your Name
Employment Period
Management Team
Working Group

c Intern or c Owner

Administrative Information

____________________________________
____ / ____ / ____ thru ____ / ____ / ____
____________________________________
____________________________________

Interviewed: yes / no
Date:
____ / ____ / ____
Interviewer(s):
___________________________

Forwarding Address
Street Address
____________________________________
City, State & Zip
____________________________________

Notes:
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________

Interview Questions
Why did you originally want to work with our collective?
_____________________________________________________
_____________________________________________________
_____________________________________________________

_________________________________________________________________________________________
_________________________________________________________________________________________
Did Firestorm fulfill your original expectations?
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
What has Firestorm been best at offering you as a collective member?
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
What do you most wish had been different?
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Continued on reverse...

What do you see as Firestorm's biggest obstacles?


_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
How did you work to overcome these and how might we continue to do so?
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Why are you leaving?
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
What do you want from your next place of work?
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Is there anything that would have kept you longer?
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
What kind of candidate should Firestorm recruit next?
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
What would you tell an incoming collective member to help them get the most out of their experience here?
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
How can we improve our integration of new members?
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________

You might also like