EXIT INTERVIEW

QUESTIONNAIRE

NAME: ____________________________________________________________________

DATE OF LEAVING: ___________________ DESIGNATION: ______________________

STATION: __________________________ DEPARTMENT: ______________________

(CIRCLE THE APPROPRIATE RESPONSE. YES OR NO)

1. DO YOU FEEL YOU WERE PROPERLY PLACED ON YOUR JOB CONSIDERING YOUR INTEREST,
ABILITY, AND SCHOOLING?

YES NO
2. DID YOU LIKE YOUR JOB?
YES NO
3. DO YOU FEEL YOU RECEIVED ADEQUATE TRAINING ON YOUR JOB?
YES NO
4. DO YOU FEEL THE AMOUNT OF WORK, WHICH YOU WERE ASKED TO PERFORM, WAS FAIR?
YES NO
5. DO YOU BELIEVE YOU RECEIVED FAIR PAY FOR THE WORK YOU WERE DOING?
YES NO
6. DO YOU FEEL THE WORKING CONDITIONS WERE GOOD?
YES NO
7. DO YOU FEEL YOUR FELLOW EMPLOYEES WERE COOPERATIVE?
YES NO
8. DO YOU FEEL YOU RECEIVED EFFECTIVE AND FAIR SUPERVISION WHILE YOU WAS HERE?
YES NO
9. DO YOU FEEL YOU WERE KEPT PROPERLY INFORMED ABOUT DEPARTMENT POLICIES AND
DEVELOPMENTS?

YES NO
10. DO YOU FEEL THE PROMOTIONAL OPPORTUNITIES WOULD HAVE BEEN GOOD HAD YOU STAYED?
YES NO
11. IF A FRIEND OF YOURS WERE LOOKING FOR A JOB, WOULD YOU RECOMMEND THAT HE APPLY
FOR WORK HERE?

YES NO
12. WHAT WERE YOUR MOST IMPORTANT REASONS FOR LEAVING?
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QUESTIONNAIRE FOR EXIT FORMAT

1. Do you have plans for continuing your education in future

a) Yes b) No c) May be

2. What are your plans in the field of your career after your marriage ?

a) Being a house wife b) Continue the present Job

c) Depends on my partner

3. Is getting a government job the ultimate in your career plan ?

a) Yes b) No c) Not sure

4. The salary package offered by our company is :-

a) Satisfactory b) Need a raise c) Ultimate

5. The friends / colleague of the company are cooperative :-

a) Yes b) No c) Not upto my expectation

6. The present designation and work allotment is :-

a) Satisfied b) Need to be upgraded c) Ultimate

7. The work given to you by the company is :-

a) Not suitable for your qualification b) Work load is heavy

c) Not satisfied by the job

8. The subordinate / Superiors / Management of this company are
cooperative :-

a) Subordinate are Cooperative but not superiors nor management

b) Superiors are cooperative but not subordinates nor mangement
c) Management is cooperative but not subordinate nor superiors

9. What are your plans about continuing you education in abroad

a) Excellent b) Financially Unsuitable c) Defer it for next year

10.Do you think your mental stress / physical strain are due to the work
atmosphere in the company?

a) Yes b) No c) May be

11.Working shifts followed by our company is :-

a) Satisfied b) Not satisfied c) Need to be changed

12.Do you have Personal / Family problems which cannot be expressed: -

a) Yes b) No c) Not sure

What is an Exit Interview?
An exit interview is typically a meeting between at least one representative from a
company's human resources (HR) department and a departing employee. (The
departing employee usually has voluntarily resigned vs. getting laid off or fired.) The HR
rep might ask the employee questions while taking notes, ask the employee to complete
a questionnaire, or both. (Sample exit interview questions are listed on page 2.)
What's the Purpose of an Exit Interview?
Human resources departments conduct exit interviews (also called exit surveys) to
gather data for improving working conditions and retaining employees. However, a
hidden purpose is to help employers avoid costly litigation down the road, caused by
"disgruntled" employees. In other words, your comments and the notes an HR rep takes
during your exit interview might be used against you in court, should you decide to sue
your former employer.
Must I Submit to an Exit Interview?
No. It's your right to decline an exit interview. A reputable employer will respect your
decision. However, a not-so-reputable employer might resent that you didn't participate
and file a "would not rehire" or similar adverse notation in your personnel records. The
same employer might reveal the notation during a background check.
Should I Participate in an Exit Interview?
Naturally, the decision whether or not to participate in an exit interview is ultimately up to
you. But there are varying opinions about whether or not you should participate. Some
career experts think you should, because, although it doesn't help you much, it helps a
sincere employer improve working conditions for remaining employees.
But other career experts question the usefulness of an exit interview. (A better time to
conduct such a meeting is while an employee is committed, not while he or she is on the
way out the door and concerned about burning a bridge.) Consequently, they don't think
the risks for departing employees are worth it, so they advise against participating.
Alternately, they advise participants to give "generic" responses only or at least think
carefully before responding.
Besides potential bridge burning, risks for departing employees include the information
falling into the wrong hands and ruining references, the employer revealing negative
information during a background check, and as previously indicated, the employer
submitting either positive or negative information as evidence in a lawsuit.
Some things to consider before participating in an exit interview are listed below.
 As a departing employee, will you benefit from an exit interview?
 Is the exit interview anonymous or must you sign a questionnaire or the HR rep's
notes?
 Is the reason you're leaving any of the company's business or an invasion of your
privacy?
 Why did your employer wait until you're leaving to ask your opinion?
 Will the HR department really use your comments for improvements or are they
just trying to find out the "real" reason you're leaving?
 Might an exit interview burn a bridge, ruin a reference or cause an adverse
background check for you?
 Might you sue your former employer down the road?
About Exit Interview Questions
Employers ask exit interview questions verbally or in questionnaire form. These days, it's not
uncommon for exit interview questions to be in electronic questionnaire form on computers.

Exit Interview Questions - Samples

Listed below are samples of the types of exit interview questions that employers commonly ask
departing employees.

 What is your primary reason for leaving?

 Did anything trigger your decision to leave?
 What was most satisfying about your job?
 What was least satisfying about your job?
 What would you change about your job?
 Did your job duties turn out to be as you expected?
 Did you receive enough training to do your job effectively?
 Did you receive adequate support to do your job?
 Did you receive sufficient feedback about your performance between merit reviews?
 Were you satisfied with this company's merit review process?
 Did this company help you to fulfill your career goals?
 Do you have any tips to help us find your replacement?
 What would you improve to make our workplace better?
 Were you happy with your pay, benefits and other incentives?
 What was the quality of the supervision you received?
 What could your immediate supervisor do to improve his or her management style?
 Based on your experience with us, what do you think it takes to succeed at this
company?
 Did any company policies or procedures (or any other obstacles) make your job more
difficult?
 Would you consider working again for this company in the future?
 Would you recommend working for this company to your family and friends?
 How do you generally feel about this company?
 What did you like most about this company?
 What did you like least about this company?
 What does your new company offer that this company doesn't?
 Can this company do anything to encourage you to stay?
 Before deciding to leave, did you investigate a transfer within the company?
 Did anyone in this company discriminate against you, harass you or cause hostile
working conditions?
 Any other comments?