Exit Interview Sample 1
WE’D LIKE YOUR OPINIONS AND SUGGESTIONS
/ Please mark (x) the word or phrase that best describes your opinion1. Have you believed your employment to be secure? /
Felt Very Secure /
Felt Somewhat Secure /
Felt Insecure
2. How would you characterize your working hours? /
Superior /
Satisfactory /
Poor
3. How do you rate the Company’s benefits programs? (e.g. health, life and other insurances, vacations, holidays, etc.) /
Superior /
Satisfactory /
Poor
4. How do you regard your salary and your salary progression? Do you feel you were paid a fair wage for the work you were asked to perform? /
Superior /
Satisfactory /
Poor
5. How would you rate the adequacy of working space and equipment? Were you provided the tools you needed to do your job? /
Excellent /
Just Adequate /
Inadequate
6. How do you feel about the performance reviews given to you by your supervisor? Were they fair? Did you have an opportunity to voice your opinions? Was your supervisor’s explanation of your performance level and objectives clear? Did you receive your review when due? /
Very
Helpful /
Of Some Help /
Of Little Or No Benefit
7. Can you envision the logical steps your career path would have take had you remained with the Company? /
Clearly /
Vaguely /
Not At All
8. Have you felt motivated by the opportunity for continued professional growth? Did you feel that company-paid seminars and on-the-job training were available, and were you encouraged in these pursuits by your supervisor? /
Highly /
Somewhat /
Not At All
9. How would you characterize your relationship with your co-workers? /
Excellent /
Had Some Problems /
Quite Difficult
10. Do you feel your department and your particular function had management’s complete support? Was your job meaningful and appreciated? /
Totally Supportive /
Fairly Good Support /
Unsupportive
11. Did your supervisor communicate company policies to you effectively? /
Usually /
Sometimes /
Never
12. Was your job challenging and interesting? Were you comfortable with the amount of independence, authority and responsibility you were given? /
Very Much /
Sometimes /
Not At All
13. Were your job duties clear and did they relate effectively with other jobs in your sphere of activity? /
Very Much /
To Some Extent /
Very Little
14. Do you believe there is a good coordination of effort at the Company? Did everyone seem to be pulling in the same direction? /
Very Much /
Fair /
Very Little
15. How would you categorize your relationship with your supervisor? /
Highly Productive /
Somewhat Productive /
Mostly Unproductive
16. Do you believe the Company is cost-conscious? Do you feel that steps were constantly being taken to minimize waste? /
Almost Always /
Sometimes /
Almost
Never
17. Do you think your opinions and ideas were welcomed, and were constantly being taken to minimize waste? /
Almost Always /
Sometimes /
Almost
Never
18. Do you feel that the Company is truly interested in its people and treats them fairly? /
Always /
Frequently /
Infrequently
19. How would you rate the Total Quality effort at the Company? /
Good /
Fair /
Poor
20. All in all, how would you categorize the Company? /
Progressive /
Average /
Backward
If you could identify one change that could be made to your position to improve the situation for the next employee in the job, what would that be?
Thank you for your comments.
YOUR COMMENTSPlease elaborate on anything you feel may be helpful.
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