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Action for Employee Clearance

Employee Code*
Employee Name*
Designation *
Department or BU*
Date of Joining *
Location *
Personal Mail ID*
Personal Number *
Date of Exit *
Why are you leaving this organization? *
What circumstances could have prevented your departure?*
What did you like most about your job?*
What did you like least about your job?*

What did you like least about your job?


Is fair to the team*
Select Almost Always Usually Sometimes Never
Usually
Provides recognition*
Select Almost Always Usually Sometimes Never
Usually
Resolves complaints issues*
Select Almost Always Usually Sometimes Never
Usually
Is sensitive to employees needs*
Select Almost Always Usually Sometimes Never
Usually
Provides timely feedback on performance*
Select Almost Always Usually Sometimes Never
Usually
Provides Opportunities to Learn and Develop*
Select Almost Always Usually Sometimes Never
Usually
Helps in Networking with other functions departments.*
Select Almost Always Usually Sometimes Never
Usually
Treats team members with due respect*
Select Almost Always Usually Sometimes Never
Usually
Is to new Ideas and Solutions*
Select Almost Always Usually Sometimes Never
Usually
Is receptive to open communication.*
Select Almost Always Usually Sometimes Never
Usually

How would you rate the following


Cooperation within your division department*
Select Excellent Good Fair Poor
Good
Cooperation with other divisions*
Select Excellent Good Fair Poor
Good
Opportunities to Learn Such as On the Job Learning, Training Programs Internal and External, Mentoring
by Senior Employees.*
Select Excellent Good Fair Poor
Good
Company's performance review system*
Select Excellent Good Fair Poor
Good
Alignment between Job Responsibilities and Pay*
Select Excellent Good Fair Poor
Good
Career development Advancement opportunities*
Select Excellent Good Fair Poor
Good
Physical and Emotionally Safety at Work*
Select Excellent Good Fair Poor
Good
Comments if any
Was the work you were doing, aligned to expectations and aspirations?* (Clear)
Yes
No
Comments if any
Was your workload usually?* (Clear)
Too Stressful
Moderately Stressful
About Right
Too light
On a scale of 1-100, how likely are you to recommend to your friends and family?*
On a scale of 1-10, how open are you to explore future opportunities with?*
What suggestions do you have to make a better place to work.*
Please fill

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