Employee Survey: Exit Interview

We  would appreciate your candid answers to the following questions. Your individual responses are treated as confidential and will not become part of your personnel file. Results will be aggregated with responses from other employees before being disclosed to [Company Name] leadership.

We believe that your feedback is of vital importance and will assist [Company Name] in analyzing our employee retention and turnover. Thank you for your cooperation!  

What prompted you to seek alternative employment? (check all that apply)

☐ Type of work                                        ☐ Compensation

☐ Lack of recognition                              ☐ Relationship with supervisor

☐ Working conditions                              ☐ Family circumstances

☐ Company culture                                  ☐ Career advancement opportunity

☐ Business direction                                ☐ Other: ________________________

Please rate your supervisor below using a scale of 1-5, with 5 being strongly agree and 1 being strongly disagree. Please select one response for each statement.   

Please rate your employment at [Company Name] below using a scale of 1-5, with 5 being highly satisfied and 1 being highly dissatisfied. Please select one response for each statement. 

Please rate the compensation and benefits at [Company Name] below using a scale of 1-5, with 5 being highly satisfied and 1 being highly dissatisfied. Please select one response for each statement. 

What did you like most about your job and/or this company? _____________________________________________________________________

_____________________________________________________________________

What did you like least about your job and/or this company? _____________________________________________________________________

_____________________________________________________________________

Additional comments:
_____________________________________________________________________

_____________________________________________________________________

Would you recommend this company to a friend as a place to work?
☐ Yes, without reservations         ☐ Yes, with reservations        ☐ No

If no, why not? __________________________________________________________