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
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