Annexure B

Exit Interview
Page two (1)

The information provided on this form is confidential between the Human Resources Department and yourself; it will only be
disclosed to third parties with your express agreement. The primary purpose of this form is to collect information regarding
your opinion of your time spent employed by GLOBSYN and your reasons for leaving your post. Your feedback is extremely
important to us and the collection of this information will enable to the Trust to make improvements to services and staff
experience where possible. Where consent to share is not given, the data will be used in an anonymous format to analyze
trends.

Employee Name ____________________________ Manager Name _______________________

Date of Joining ________________________ Date of Separation ____________________

Designation _____________________________

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

Salary Family Responsibilities

Job Advancement Dissatisfied/Management
Personal Benefits
Higher Study Job Eliminated
Relocation Other – (please explain) ________________
Health Retirement

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 supervisor/manager?

Yes No

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

3. Quantity and quality of training received for your position(s) here at GLOBSYN

1 2 3 4 5

________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
___________________________

4. Working relationship with your current supervisor.

1 2 3 4 5

________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
____________________________

5. Working relationship with fellow employees.

1 2 3 4 5

________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
____________________________

6. What did you enjoy most about your employment with GLOBSYN?

_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________

7. Based upon your experiences here, would you recommend GLOBSYN as a potential employer for your
friends, relatives, etc.? Yes No

If no, please briefly explain:

_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________
 Exit Interview
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8. Would you reapply to GLOBSYN if a future opportunity arose? Yes No

If no, please briefly explain:

________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
____________________________

Please add any additional comments:

________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
_______________________________________________________

Exit Interview:
Were you offered an exit interview by your manager? Yes: No:

Exit interview conducted by: ____________________

Date/Time: _________________