SOURCE: hrVillage.com
Human Resources

Exit Interview
 
 
Employee Name ______________________ Termination Date ______________________
       
Employee ID # ______________________ Eligible for Rehire         [   ]  Yes      [   ]  No
       
Job Title ______________________    
 
 
Reason for Termination
  Voluntary Involuntary
       
[   ] Another Position [   ] Attendance
[   ] Personal Reasons [   ] Violation of Company Policy
[   ] Relocation [   ] Lay Off
[   ] Retirement [   ] Reorganization
[   ] Return to School [   ] Position Eliminated
[   ] Other_______________ [   ] Other_______________
       
Employee Comments:
 
 
 
 
 
Interviewer Comments:
 
 
 
 
 
Employee's Signature ____________________ Date: ____________________
Interviewer's Signature ____________________    
       

 

 

Questionnaire
 
1. What are your primary reasons for leaving?
_______________________________________________________________________
 
_______________________________________________________________________
 
_______________________________________________________________________
 
2. What did you find most satisfying about your job?
_______________________________________________________________________
 
_______________________________________________________________________
 
_______________________________________________________________________
 
3. What did you find most frustrating about your job?
_______________________________________________________________________
 
_______________________________________________________________________
 
_______________________________________________________________________
 
4. Were there any company policies or procedures that made your work more difficult?
_______________________________________________________________________
 
_______________________________________________________________________
 
_______________________________________________________________________
 
5. Would you consider returning to this company in the future?
_______________________________________________________________________
 
_______________________________________________________________________
 
_______________________________________________________________________
 
6. Would you recommend this company to a friend as a good place to work?
_______________________________________________________________________
 
_______________________________________________________________________
 
_______________________________________________________________________
 
7. Is there anything the company could have done to prevent you from leaving?
_______________________________________________________________________
 
_______________________________________________________________________
 
_______________________________________________________________________
 
 

 

 

 

 

 

 

 

SOURCE: hrVillage.com
Human Resources
Helping Human Resources Management