EXIT INTERVIEW FORM

We would like to use this opportunity to analyse your reasons for leaving the organisation
with the objective of further improving the organisation. Your frank and spontaneous
responses would be useful in bringing the desired change.
Name of the Employee: Employee I :

!ection: "ocation :
ate of #oining: ate of "eaving :
$. What were your e%pectations at the time of joining &ompany' (lease rank the
following factors in terms of importance at the time of your decision to join
&ompany.
)rand Image
&ompensation
&areer *dvancement
+ole , +esponsibility
Work Environment
*ny -ther
.. (lease rank the items below in terms of the importance as reasons for the e%it.
"earning -pportunities
/rowth -pportunities
*mbience , Infrastructure
*ppreciation 0 +ecognition
Work1personal life balance
"ack of delegation
+elationship with superiors
+elationship with peers
Improper0Inade2uate job
+esponsibilities
*ny other
3. 4ow was the working environment in your department. (lease elaborate'
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6. Would you refer a friend to work with &ompany'
YE!
N-
7. /iven an -pportunity in future would you like to join back in &ompany'
YE!
N-
8. We believe that an employee leaving the organi9ation will have an unbiased view
of the strengths , shortcomings of the organi9ation. (lease list three of each.
Strength Weaknesses
$. $.
.. ..
3. 3.
:. Would you like to identify the organi9ation you are joining'
Industry :
-rganisation :
esignation :
!alary :