Employee Exit Interview

Exit Interview Survey

This form is intended to be used for feedback for company improvement and employee satisfaction.

"*" indicates required fields

First and Last Name*

Today's Date*

Choose Plant*

Department*

Last Position Held*

Why did you leave the company?

Please explain your reason(s) for leaving in more detail

What suggestions for improvement do you have for us?

Was there anything we could have done to keep you here?

In what ways did the job meet your initial expectations?

What did you enjoy about the job/dislike about the job?

What did you think of the company's culture?

What have you learned here that you can take with you to your next position?

Would you recommend this company to your friends as a good place to work?

Yes

Please rate the benefits that you received at the company(keeping in mind the benefits offered by other companies you have worked for): MEDICAL ONLY

Please rate the benefits that you received at the company(keeping in mind the benefits offered by other companies you have worked for): DENTAL ONLY

Please rate the benefits that you received at the company(keeping in mind the benefits offered by other companies you have worked for): VISION ONLY

Please rate the benefits that you received at the company(keeping in mind the benefits offered by other companies you have worked for): PAID TIME OFF ONLY

Please rate the benefits that you received at the company(keeping in mind the benefits offered by other companies you have worked for): 401K PLAN ONLY

Please rate the benefits that you received at the company(keeping in mind the benefits offered by other companies you have worked for): DEVELOPMENT/TRAINING ONLY

May we contact you for further follow up or to arrange delivery of a gift card?*

Yes

If we may contact you, please leave the best phone number and email address

Comments

This field is for validation purposes and should be left unchanged.