Exit Interview example

This is an example Exit Interview survey. This survey includes questions like:

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1) What was your main reason for leaving the company?
2) How long had you been considering leaving the company?
  • Less than one month
  • One to three months
  • Three to six months
  • More than six months

Please tell us how satisfied or dissatisfied you were with each of the following:

3) How satisfied were you with the quality of your work environment?
  • Very Dissatisfied
  • Dissatisfied
  • Satisfied
  • Very Satisfied
4) How satisfied were you with the company provided benefits?
  • Very Dissatisfied
  • Dissatisfied
  • Satisfied
  • Very Satisfied
5) How satisfied were you with your potential for advancement?
  • Very Dissatisfied
  • Dissatisfied
  • Satisfied
  • Very Satisfied

Please tell us how much you agree or disagree with each of the following statements:

6) My immediate supervisor was respectful and fair.
  • Strongly Disagree
  • Disagree
  • Agree
  • Strongly Agree
7) My immediate supervisor was knowledgeable about my job.
  • Strongly Disagree
  • Disagree
  • Agree
  • Strongly Agree
8) I received the training I need to do my job.
  • Strongly Disagree
  • Disagree
  • Agree
  • Strongly Agree
9) I was given adequate time to complete my job responsibilities.
  • Strongly Disagree
  • Disagree
  • Agree
  • Strongly Agree
10) I was given adequate physical space needed to perform my job responsibilities.
  • Strongly Disagree
  • Disagree
  • Undecided
  • Agree
  • Strongly Agree
11) I found my work interesting and stimulating.
  • Strongly Disagree
  • Disagree
  • Agree
  • Strongly Agree
12) My co-workers treated me with respect.
  • Strongly Disagree
  • Disagree
  • Agree
  • Strongly Agree
13) My workload was:
  • Too Much
  • Just About Right
  • Too Little
14) What did you like most about working for this company?
15) What did you like least about working for this company?
16) Overall, how satisfied were you working for the company?
  • Very Dissatisfied
  • Dissatisfied
  • Satisfied
  • Very Satisfied
17) What, if anything, could have been done to keep you with the company?
18) Would you consider working for this company again?
  • Yes
  • No
  • Don't Know
19) Would you recommend others to work for this company?
  • Yes
  • No
  • Don't Know
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