Exit Interview Form

Version 1.0
April 2019

Confidential © AutoRABIT Inc. | Internal

 Exit Interview Form

We appreciate you taking a few minutes to answer the following questions.

Please be as honest as possible. While we may share some of this information with management,
individual responses will remain confidential to Human Resource Department, and will not be held against
you.

Employee Name: ____________________ Reporting Manager Name: ______________ __

Date of Joining: ________ ______ Last Working Day: ______ __ ____

Designation: _______________________ Department: _________ _____ _____

1. Please indicate reason(s) below, which contributed to your decision to resign your current
position?

Better Compensation

Job Advancement

Personal

Other – (please explain)

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2. Was there a specific event of issue that prompted your resignation?

Yes No

If yes, please briefly explain:

If yes, did you discuss this matter with your manager?

Yes No

On a scale of 1 to 5, with “1” being poor and “5” being outstanding, please rate the following:

1. Please rate your manager on the following:

A. Clearly communicated expectations

1 2 3 4 5

B. Held weekly or biweekly meetings to discuss about your work

1 2 3 4 5

C. Provided consistent and regular feedback about your work

1 2 3 4 5

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 2. Quantity and quality of training received for your position(s) here at AutoRABIT.

1 2 3 4 5

Comments:

3. Did you encounter any problems in your current position? Yes No

If yes, please briefly comment:

4. Was your current job challenging and satisfying?

1 2 3 4 5

5. Employee Benefits package.

1 2 3 4 5

Please offer any comments or suggestions for improvement related to the Benefits package.

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 6. Is there anything we could have done that would have changed your decision to leave?

7. Other feedback:

Interview conducted by: ____________________

Date/Time: _________________

Thank you for your time!

We wish you the best of luck in your future endeavors.

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