EXIT INTERVIEW QUESTIONNAIRE

NAME EMPLOYEE ID
DESIGNATION DEPARTMENT
JOIN DATE LAST DATE

1. What are your main reasons of leaving BERT?

Work Relationship Development
Supervisor Training opportunities
Peers Career Development
Team

Job Compensation & Benefits

Work environment (work place, Compensation / salary
equipment,etc) Benefits / social benefits
Work schedule (hours, shift work, etc) Paid holidays/ vacation
Work overloaded
Job content / job profile Alternatives
Unchallenging job Interesting external offer
Unassigned for a long time Freelancing / set up own business
Job security / safety
Personal Reasons Company / Management
Relocation Company culture
Marriage Company structure & organization
Family concern Company policies & procedures
Migration Information & communication deficiencies
Work-life balance Trust in top management
Commuting / Distant issue Quality of management
Further education Image of the company
Health issues HR policy & procedures
Pregnancy Goal setting process
Others Performance review
2. In which direction / field you will be pursuing in your next career?
Change to competitor Self employed
Change to customer Others ______________________
Change to company in other sector

3. If you are changing to a competitor, may we know to which company and the location?

4. How did you hear about your new job?

Online advertisement / Job Portals Supplier / vendor
Print advertisement Customer
Career fair / event Colleagues
Friends / family Others ________________________
Headhunter

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5. What would be the main factor for you in looking a new job?
Performance bonus Allowances (Please specify)
Performance increment ______________________________________
Position Title
Others (Please specify)
Starting basic pay
______________________________________
Company reputation

6. Will your total compensation packages including benefits increase significantly in your new
job?
Yes ___________ (%) No

7. What you like the most about BERT / your job?

8. What did you like the least about BERT / your job?

9. What would have encouraged you to stay?

10. Would you recommend BERT as a place for work to your family / friends?
Yes No
11. If given an opportunity, would you like to re-join BERT?
Yes No
12. Is there anything else that you would like to share?

Thank you for your feedback! Good luck on your future endeavour

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