Exit Interview Form (Confidential)

Employee Name:

Designation:

Department:

Interview Date:

Feedback:

1. How long you were in Akij Food & Beverage Ltd.?

□Less than 1 year □ 1 – 3 years □ 4 - 7 years □ More than 7 years
2. Where are you going after leaving Akij Food & Beverage Ltd.?
□Same Business □ Bank □ Government Service □ MNC’s □ Local Company
□ pursuing own career □ other (specify ____________
3. Will you be earning more or less than your current position?
□ Not applicable – I will not be employed □ 10 – 24 % less □ 5 – 9 % less
□ About the same (less than either 5% higher or lower) □ 5 – 14% or more
□ 15 – 24 % or more □ 25 + % or more
4. Overall, my experience working in my organization was good
□ strongly agree □ Agree □ Disagree □ strongly disagree □No Comments
5. The pay I was receiving was good.
□Strongly agree □ Agree □ Disagree □ strongly disagree □No Comments.
6. The benefits (life Insurance, provident fund, Gratuity, etc.) were good
□ strongly agree □ Agree □ Disagree □ strongly disagree □No Comments.
7. I was fairly rewarded for my accomplishments.
□ strongly agree □ Agree □ Disagree □ strongly disagree □ No Comments
8. I have received the guidance and assistance to perform the jobs effectively.
□ strongly agree □ Agree □ Disagree □ strongly disagree □ No Comments

Prepared by: Human Resources Department of AKIJ FOOD & BEVERAGE LTD.
 Exit Interview Form (Confidential)
9. My working relationship with my immediate supervisor was good
□ strongly agree □ Agree □ Disagree □ strongly disagree □ No Comments
10. Management made different types of training available for employees
when needed to perform effectively and meet their career goals."
□ Strongly agree □ Agree □ Disagree □ Strongly disagree □ No Comments
11. If you get the opportunity, would you consider working for Akij Food &
Beverage Ltd. again?
□ Yes □ No
12. What kind of additional support Akij Food & Beverage Ltd. could have done
for you, which might made you to stay back.

13. Point out 3-5 important suggestions for overall Improvement of Akij Food
& Beverage Ltd.

1.

2.

3.
4.

5.

________
Signature

Prepared by: Human Resources Department of AKIJ FOOD & BEVERAGE LTD.