Aum Insurance Brokers Pvt Ltd

(EXIT INTERVIEW)

EMPLOYEE NAME:
DEPARTMENT DESIGNATION
DATE OF JOINING DATE OF RELIEVING
EXIT INTERVIEW DATE

Please indicate all applicable contributing factors to your decision to resign. If “Other,” please
explain.
SALARY JOB ADVANCEMENT PERSONAL

FURTHERING EDUCATION RELOCATION HEALTH RETIREMENT

FAMILY RESPONSIBILITIES DISSATISFIED / MANAGEMENT BENEFITS

OTHER please explain in space
JOB ELIMINATED MILITARY
below

What did you find enjoyable about your work experience?

What did you find least enjoyable about your work experience?

Do you feel your work experience was interesting, challenging and growth producing? ( Please Describe)

What could have been done and/or provided to help you do your job better?

Would you recommend our company as a potential employer to others? Please explain why or why not.

Based upon your experience, would you be open to reapplying to future opportunities with our company?
Please explain.
 Please complete the following evaluation based upon your experiences with the company.
SLIGHTLY SLIGHTLY VERY
VERY SATISFIED NEUTRAL
SATISFIED DISSATISFIED DISSATISFIED

Quality of training provided

Working relationship with

manager

Working relationship with

teammates

Working relationship with

other departments

Satisfaction with employee

benefits

Company’s position on
work / life balance

Overall workload

Overall satisfaction

Opportunity to use your

abilities

Recognition for the work

you did

Your supervisior's
management methods

The Opportunities to talk

with your supervisior

Promotion policies and

practices

Discipline policies and

practices

Performance review
polocies and practices

Physical working conditions

Provide any additional comments you wish to share. Thank you.

Deputy Manager-HR Employee Signature