EXIT INTERVIEW TEMPLATE
Name of Employee: ___________________________ Position: _________________________________
Department: _________________________________ Reports to: ______________________________
Commencement date: _________________________ Termination date: _________________________
Date of interview: ____________________________
Feedback provided to manager:
Date: ____________________________________ Signed: ___________________________________
QUESTIONS
- What things make this a good place to work?__________________________________
______________________________________________________________________________
- What things would you change to make this a better place to work? ______ ____________________________________________________________________________________
- Please indicate your reasons for leaving:q Further study
q Family commitments
q Planning to travel
q Flexibility/wanting to work freelance
q Wanting a change
q New career opportunity
q Dissatisfied/disillusioned with current role
q Other - Comments:
- If you have accepted a new position – describe the areas that make the new job more attractive.____________________________________________________________________________________________________________________________________________________________
Reasons for leaving
Culture/environment
- How would you describe the culture here?q Supportive
q Professional
q Relaxed/informal
q Friendly/welcoming
q Bureaucratic
q Competitive
q Hardworking
q Team-based
q Conservative
q Other ____________________________________________________________________
Comments:
Job satisfaction
- On a scale of 1-5, how would you rate your overall job satisfaction?
1 2 3 4 5
Low level satisfaction High level satisfaction
q q q q q
- How did the following issues impact on your job satisfaction?
Negative impact Positive impact
1 2 3 4 5
Remuneration q q q q q
Type of work q q q q q
Level of responsibility q q q q q
Feedback q q q q q
Changing nature of the job q q q q q
Support from manager q q q q q
Support from peers q q q q q
Work pressure q q q q q
Communication – quantity q q q q q
Communication – quality q q q q q
Involvement in decision making q q q q q
Technology q q q q q
Managers enthusiasm/involvement q q q q q
Other ________________________________________ q q q q q
Comments______________________________________________________________________
_______________________________________________________________________________
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- What changes could have been made to improve your job satisfaction?______________________________________________________________________________________________________
- _______________________________________________________________________________
Management
9. How would you describe the management style within your department:
q Consultative
q Directive
q Bureaucratic
q Progressive/innovative
q Inspirational/motivating
q Approachable/supportive
q Uninterested
q Flexible
q Inflexible
q Technically competent
q Other ____________________________________________________________________
Comments: _____________________________________________________________________
_______________________________________________________________________________
10. If changes could be made to build on your manager’s effectiveness, what recommendations would you make?
Recognition/feedback
11. How often did you receive feedback from your manager?
q Regular formal feedback
q Regular informal feedback
q Occasionally/adhoc feedback
q Never received feedback
12. What type of feedback was provided to you during your employment here?
q Performance appraisals
q Informal feedback
q Verbal recognition and praise for your effort
q Constructive criticism
q Unfair/unreasonable criticism
q None
13. How would you describe the quality of the feedback you received?
Training & Development
14. How adequate was the training that was provided to you during your employment?
q Sufficient job related training
q Training offered – but not specific to needs
q Insufficient job related training
Comments: _____________________________________________________________________
_______________________________________________________________________________
15. Were there areas where you believe training needs in your job were not met? _______________
_______________________________________________________________________________
Career opportunities
16. In your view, have there been adequate career opportunities available in the company?
q Yes
q No
q Other____________________________________________________________________
17. What type of career opportunities were important to you?
q Promotional opportunities
q Special project opportunities
q Increased responsibility through additional tasks
q Overseas opportunities
q Position rotations/secondments
q Not looking for any progression
q Other____________________________________________________________________
Comments: _____________________________________________________________________
_______________________________________________________________________________
Communication
18. How would you rate the effectiveness of company communication?
q Effective
q Average
q Poor/ineffective
Comments: ____________________________________________________________________
______________________________________________________________________________
19. Within your department, how well informed are you in the following areas?
Uninformed Informed
1 2 3 4 5
Organisation objectives, direction or strategy q q q q q
Purpose of the department or team q q q q q
Own individual priorities q q q q q
On-line/electronic developments q q q q q
New product developments q q q q q
Changes to internal systems q q q q q
Customer requirements/needs q q q q q
Other q q q q q
Comments:
20. What recommendations would you make to improve overall communicaiton?
Remuneration
21. How satisfied were you with the remuneration offered?
q Satisfied – commensurate to the responsibility of the job
q Reasonably satisfied – other things compensated
q Dissatisfied – felt under valued
22. Were there any other benefits you feel should have been considered? _____________________
______________________________________________________________________________
Perception of the company
23. How do you believe this company is perceived as a business? Please comment on the following statements:
a) Our customers view our products and services as being high quality
q Agree
q Undecided
q Disagree
b) The quality of our work is viewed by our customers as exceeding that of our competitors
q Agree
q Undecided
q Disagree
c) We are perceived by the market as an innovative and progressive business
q Agree
q Undecided
q Disagree
d) Our customers believe that we understand and respond to their needs
q Agree
q Undecided
q Disagree
e) Employees are motivated and interested in providing excellent customer service
q Agree
q Undecided
q Disagree
f) We are an employer that provides skill development, challenges and opportunities
q Agree
q Undecided
q Disagree
24. Would you recommend us as an employer?
q Yes
q No
q Maybe
Comments:
Other
25. Are there any other comments you would like to make (suggestions, concerns, opportunities etc)?
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