Super Software Technologies Pvt. Ltd.

Confidential

Super Software Technologies Pvt. Ltd.

EMPLOYEE EXIT INTERVIEW QUESTIONNAIRE
Your opinions concerning your employment are of value to us. Your response to this questionnaire will enable us to
develop policies and practices that reflect the needs of our employees.

Was your decision to leave the Company influenced by any of the following: (Please check all those applicable.)

Better Job Opportunity  Family Circumstances 

Type of Work  Self-Employment 
Rate of Pay  Illness or Physical Problem 
Commuting Distance  Return to School 
Supervision  Other 
If other, please specify _________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________

Check the box that best expresses your opinion.

The Job Very Satisfied Dissatisfied Very
Satisfied Dissatisfied

1. The Opportunity To Use Your Skills    

2. Recognition For The Work You Did    
3. Your Workload    
4. Opportunity To Do Interesting Work    
5. Your Pay    
Your Supervisor and Co-Workers

1. Your Supervisor’s Effectiveness    

2. Your Supervisor’s Willingness To Discuss Problems    
3. Your Supervisor’s Interest In Your Career Development    
4. Your Supervisor’s Review Of Your Salary    
5. Your Supervisor’s Review Of Your Performance    
6. Friendliness Of Co-Workers    
7. Cooperation Of Co-Workers    
Communications, Policies & Practices

1. Information You Received On Company Policies    

2. Communications Within The Department    
3. Communications Within The Company    
4. Procedures For Grievances & Problems    
5. Performance Appraisal Program    
Working Conditions And Benefits

1. Physical working conditions    

2. Career development opportunities    
3. Promotion opportunities    
4. Reception of new ideas    
5. Benefit programs    
6. The company as a place to work    
7. Your overall opinion of the company    
 Super Software Technologies Pvt. Ltd. Confidential

1. What steps could have been taken that would have prevented you from leaving?

2. Did you understand how your work contributed to Super’s business objectives?

3. Did you ever contact the Human Resources/Benefits department with a personal or departmental problem? If YES,
What was the result?

4. Would you recommend the company to a friend as a good place to work? Why?

What did you like most about:

Super Sw Tech Pvt Ltd:

Your Job:

Your Supervisor:

What did you like least about:

Super S/w Tech Pvt Ltd:

Your Job:

Your Supervisor:

What constructive comments can you make about:

Your Supervisor:

Your Department::

Super S/w Tech Pvt Ltd:

Employee Name:
Employee Sign:

Job Title: Date:

Department:

Reporting Manager: