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EXIT INTERVIEW FORM A

Employee name: Unit name:


Employee number: Manager’s name:

Main reason for leaving:

Any other factors apart from the main reason (salary, conditions, etc):

Type of future employment (full details of salary, employer, conditions,


etc):

Other comments you would like to make about this Company as an


employer:

Signed: Dated:
EXIT INTERVIEW FORM B
Employee name: Unit name:
Employee number: Unit location:
Position: Manager’s name:
Start date: Leave date:

Main reason for leaving (more than one box can be ticked):
Salary 
Career progression 
Dissatisfaction 
Left area 
Leaving industry 
Other, please specify details: 
Interviewer’s comments:

Employee’s attitude towards the Company, management and colleagues:

Employee’s attitude towards pay and conditions:

Employee’s attitude towards job:

Signed: Dated:

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