Archive

TOOL Abbreviated Exit Interview Questionnaire

By Staff Report

Apr. 11, 2000

You can use the following short questionnaire in conjunction with an exit interview conducted on-site. The following is just an example.


 


EXIT INTERVIEW


As a resigning associate of _______________, you can be a valuable source of information regarding various working conditions observed during your period of employment.


Please be assured that your questionnaire will not become a part of your permanent personnel record file, and your comments will in no way affect your re-employment possibilities should you desire to seek employment again with _______________.


We are striving to maintain a positive working environment and hope that your suggestions, comments and observations will aid us in accomplishing this goal.


 


ASSOCIATE S NAME (OPTIONAL):
_________________________


Resignation Date:


_______________


Hire Date:


_______________


Job Title:


_______________


Location:


_______________


 


(PLEASE PLACE AN “X” BESIDE YOUR REASON FOR LEAVING.)


REASON FOR LEAVING: (Mark as many as apply)


_____ 1. Secured a different job


_____ 2. Dissatisfied with pay


_____ 3. Moving from area


_____ 4. Family circumstances


_____ 5. Health reasons


_____ 6. Dissatisfied with type of work


_____ 7. Other (please explain)


 


 


 


 


(PLEASE RATE THE FOLLOWING FROM 1 TO 10 — WITH 10 BEING THE BEST)


Training received


1


2


3


4


5


6


7


8


9


10


Comments




Company benefits


1


2


3


4


5


6


7


8


9


10


Comments




Career opportunities


1


2


3


4


5


6


7


8


9


10


Comments




Supervision received


1


2


3


4


5


6


7


8


9


10


Comments




Working conditions


1


2


3


4


5


6


7


8


9


10


Comments




Pay for work required


1


2


3


4


5


6


7


8


9


10


Comments




Type of work performed


1


2


3


4


5


6


7


8


9


10


Comments




The job met my expectations


1


2


3


4


5


6


7


8


9


10


Comments




The company s commitment to customer service


1


2


3


4


5


6


7


8


9


10


Comments




 


Please provide any additional information you feel will help _______________ exceed customers’ expectations, attract and retain excellent employees.


 


 


 


 


 


SOURCE: Mike Smith, P.O. Box 1692 Wal, NJ 07719, ms@mikesmith-hr.com


The information contained in this article is intended to provide useful information on the topic covered, but should not be construed as legal advice or a legal opinion.


Schedule, engage, and pay your staff in one system with Workforce.com.