Sample Survey Employee Exit Interview Employee exit interview including evaluation of relationship with co-workers, The Job, Benefits and company evaluation.

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Name	Employee Exit Interview
Description	Employee exit interview including evaluation of relationship with co-workers, The Job, Benefits and company evaluation.
Category	Employee Surveys (Browse All Categories)

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Hello:

You are invited to participate in our employee exit interview.
Your survey responses will be strictly confidential and data from this survey will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you can contact [HR_CONTACT_NAME] at [HR_CONTACT_PHONE] or by email (the email address given below).

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

What are your reasons for joining [COMPANY_NAME]? (Check all that apply)

Unemployed and needed a job

Referred by a friend

Fringe benefits

[COMPANY_NAME] reputation as a good place to work

Career advancement

Salary advancement

Other

Please select the department in which you work (not your primary work function).

What are your reasons for leaving [COMPANY_NAME]? (Check all that apply)

Higher Pay

Benefits

Better job opportunity

Commute

Conflict with other employees

Conflict with managers

Family and personal reasons

Relocation/Move

Career Change

Company Instability

Other

The next part of the Interview is divided into 5 sections: -

Details about The Job

Your Supervisor and you

The Department that you worked in

The Management and its attitude towards you

Compensation and Benefits that you received

Each of the sections will have a 5 point scale : -

1 - Strongly Disagree with the statement

2 - Agree

3 - Neutral

4 - Disagree

5 - Strongly Agree with the statement

Please choose one of the above for each of the items displayed.

The Job Itself

	1 Strongly Disagree	2 Disagree	3 Neutral	4 Agree	5 Strongly Agree
Job was challenging

Skills were effectively used

Job orientation was effective

Work load was reasonable

Sufficient resources were available

Work environment was safe, comfortable and appropriately equipped

What do you think can be improved about the Job?

My Supervisor

	1 Strongly Disagree	2 Disagree	3 Neutral	4 Agree	5 Strongly Agree
Had knowledge of the job

Had knowledge of supervision

Was open to suggestions

Recognized employees contribution

What are your comments and suggestions about your supervisor?

The Department

	1 Strongly Disagree	2 Disagree	3 Neutral	4 Agree	5 Strongly Agree
Had good synergy

Had adequate equipment

Was adequately staffed

Was efficient

What do you think can be improved about the Department?

The Management

	1 Strongly Disagree	2 Disagree	3 Neutral	4 Agree	5 Strongly Agree
Gave fair and equal treatment

Was available to discuss job related issues

Welcomed suggestions and encouraged feedback

Maintained consistent policies and practices

Provided recognition for achievements

Encouraged cooperation/collegiality

Provided development opportunities

What are your suggestions to Management?

Compensation and Benefits

Please Rank the Following : -

1 - Very Dissatisfied

2 - Dissatisfied

3 - Neutral

4 - Satisfied

5 - Very Satisfied

	1 Very Dissatisfied	2	3	4	5 Very Satisfied
Medical insurance package

Dental coverage

Prescription drug coverage

Vision coverage

401(k) savings plan

Retirement program

Paid time off

Job market competitiveness of my salary

Stock option plan

Company credit union

What areas of compensation do you think the company should pay more attention to?

Thank You for you input.

It is the [COMPANY_NAME] policy to consider employee survey responses as confidential and data will only be reported in aggregate form.

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