EXIT INTERVIEW FORM

Exit Interview Form

Name of associate EMPLOYEE SECTION Cross Bali Breakers SECTION

Department
1. Please state your reason for leaving:
_______________________________________________________
_______________________________________________________
_______________________________________________________
Position
Comments:
_________________________________
_________________________________
_________________________________

_________________________________
_______________________________________________________

2. Do you have another job?

Yes No
_________________________________
_______________________________________________________
_________________________________
_______________________________________________________
_________________________________
_______________________________________________________

3. How do you feel about the following:

 Work condition work environment, work hours, equipment,
cleanliness, etc.):
_______________________________________________________
_______________________________________________________
_________________________________
_______________________________________________________
_________________________________
 Work supervision /
your view about your supervisor(s): _________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________ _________________________________

 Associate facilities.): _________________________________

_________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_________________________________
_________________________________
 orientation, on-the-job training, etc.):
_______________________________________________________ _________________________________

_______________________________________________________
_______________________________________________________
_________________________________
_________________________________
_________________________________

EXIT INTERVIEW FORM

 EMPLOYEE SECTION CROSS BB SECTION

 Communication channels / opportunity to discuss your views with

your supervisor(s)):
_______________________________________________________
_______________________________________________________ _________________________________
_______________________________________________________ _________________________________

4. How do you feel if we could have prevented your resignation? _________________________________

_______________________________________________________
_______________________________________________________
_______________________________________________________ _________________________________

5. What other suggestions do you have to improve the work place? _________________________________
_______________________________________________________ _________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________ _________________________________
_________________________________
_________________________________

________________________________

__________________________
Signature of Employee __________________________
Signature of HR Department
Date: ________________
Date: ________________

Note: Please bring this form to the Exit Interview at Human Resource Department
 EXIT INTERVIEW FORM

หัวข้ อสรุปของโรงแรม / HOTEL’S SUMMARY SECTION

Name of Employee
Department Position
1. Confirmation of associate’s reason for leaving:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
2. Plan of action to review associate’s comments with the
Head of Department / General Manager/Hotel Manager:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
3. Would you recommend the associate for re-hiring?:
ต้องการ / Yes ไม่ตอ้ งการ / No

Additional Remarks
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

__________________________

Signature of HR Manager

วันที่ / Date: ________________