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    Exit Interview Form New

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    aqua jkt
    The document is an exit interview questionnaire for an employee leaving JD.ID. It aims to understand the reasons for leaving in order to retain good employees. The questionnaire asks for the employee's date of resignation and then has several sections to identify factors influencing the decision like personal reasons, work conditions, pay/benefits, overall ratings of supervision, department and suggestions for improvements. The information provided will be kept confidential but is important for developing retention strategies. The participation in the exit interview is appreciated.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Exit Interview Form New

    Uploaded by

    aqua jkt
    23 views3 pages
    The document is an exit interview questionnaire for an employee leaving JD.ID. It aims to understand the reasons for leaving in order to retain good employees. The questionnaire asks for the employee's date of resignation and then has several sections to identify factors influencing the decision like personal reasons, work conditions, pay/benefits, overall ratings of supervision, department and suggestions for improvements. The information provided will be kept confidential but is important for developing retention strategies. The participation in the exit interview is appreciated.

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    The document is an exit interview questionnaire for an employee leaving JD.ID. It aims to understand the reasons for leaving in order to retain good employees. The questionnaire asks for the employee's date of resignation and then has several sections to identify factors influencing the decision like personal reasons, work conditions, pay/benefits, overall ratings of supervision, department and suggestions for improvements. The information provided will be kept confidential but is important for developing retention strategies. The participation in the exit interview is appreciated.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    23 views3 pages

    Exit Interview Form New

    Uploaded by

    aqua jkt
    The document is an exit interview questionnaire for an employee leaving JD.ID. It aims to understand the reasons for leaving in order to retain good employees. The questionnaire asks for the employee's date of resignation and then has several sections to identify factors influencing the decision like personal reasons, work conditions, pay/benefits, overall ratings of supervision, department and suggestions for improvements. The information provided will be kept confidential but is important for developing retention strategies. The participation in the exit interview is appreciated.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 3

    Exit Interview Questionnaire

    It is regrettable when an employee decides to leave JD.ID. It is therefore essential that we find out the reason why, if we are going to
    avoid losing good people in the future. Once an individual decides to leave, they are likely to give a honest input which is invaluable to
    JD.ID in identifying why people leave and giving ideas which can be implemented to change JD.ID for the better. We would therefore
    ask you to complete the following questionnaire and return it promptly to your HRBP as the representative of the HR Department.

    We would appreciate you taking a few minutes to answer the following questions as honestly as possible. Your response will be treated
    with the utmost confidentiality. The information you provide are required and is extremely important to assist JD.ID with employee
    retention strategies. Your participation in the exit interview process is appreciated.

    Date of Resignation: ______/______/______

    Section 1 - Reason for Separation

    Please describe the main reason(s) you are leaving your current positon?
    ☐ Personal Reasons ☐ Work condition and growth ☐ Pay/benefits ☐ Retirement
    opportunities

    Section 2 - Personal Factors Contributing to Resignation

    Please indicate the following factors that influenced your decision to leave (Check all that applies)
    ☐ Health Reasons ☐ Family Reasons ☐ Commute/Transportation
    ☐ Relocation ☐ Marriage ☐ Career Change
    ☐ Returning to School ☐ Child Care ☐ Other
    Comments:

    Section 3 - Work/Growth Factors Contributing to Resignation

    Please indicate the following factors that influenced your decisions to leave (Check all that applies)
    ☐ Dissatisfaction with type of work ☐ Dissatisfaction with working conditions
    ☐ Dissatisfaction with tools and equipment provided ☐ Dissatisfaction with training and development received
    ☐ Dissatisfaction with level of input in decision ☐ Dissatisfaction with supervision received
    ☐ Dissatisfaction with coworkers/teamwork ☐ Dissatisfaction with promotional opportunities
    ☐ Dissatisfaction with working hours ☐ Dissatisfaction with the lack of organization vision
    ☐ Dissatisfaction company policies ☐ Dissatisfaction with office environment
    ☐ Dissatisfaction with lack of recognition ☐ Dissatisfaction with office facilities
    ☐ Dissatisfaction with workload ☐ Other
    Comments:

    Page 1 of 3
    ID. 007/R.00/F/HR/V/2020
    Exit Interview Questionnaire

    Section 4 - Pay/Benefits Factors Contributing to Resignation


    Please indicate the following factors that influenced your decisions to leave (Check all that applies)
    ☐ Salary ☐ Bonus
    ☐ Healthcare Insurance ☐ Incentive
    ☐ Leave Benefits ☐ Other Benefits
    ☐ Support of work-life balance
    Comments:

    Section 5 - Overall Rating of Organization


    How would you rate the following aspect of the overall organization? (Use the scale 1 – Lowest and 5 – Highest)
    1 2 3 4 5 1 2 3 4 5
    Recruitment process New employee orientation
    Training opportunities Career development opportunities
    Employee morale Fair treatment of employee
    Recognition for a job well done Communication between management and
    employee
    Concern with quality and excellence Interest and investment in employees
    Performance management Process
    Culture

    Section 6 - Overall Rating of your Supervisor


    How would you rate your supervisor on the following factors? (Use the scale 1-Never, 2-Seldom, 3-Often, 4-Usually, 5-Always)
    1 2 3 4 5 1 2 3 4 5
    Gave performance feedback regularly Recognized accomplishments
    Clearly communicated expectations Treated me fairly and respectfully
    Coached, trained and developed me Provided leadership
    Encouraged teamwork and cooperation Resolved concerns in a timely manner
    Listened to suggestions and feedback Provided appropriate and challenging
    assignment
    Supported work-life balance
    How would you rate the following aspect of the overall division/unit (Use the scale 1 – Lowest and 5 – Highest)
    Rating Scale 1 2 3 4 5 Rating Scale 1 2 3 4 5
    Opportunities for continuous learning Teamwork within the department
    Communication within the department Opportunities for advancement within
    the department
    Morale within the department Working conditions within the
    department
    Clear goals and expectations within the Department culture
    department

    Section 7 - Overall rating of your Department/unit

    Page 2 of 3
    ID. 007/R.00/F/HR/V/2020
    Exit Interview Questionnaire

    Section 8 - Additional Questions


    What lead you to accept the position with our Please explain:
    organization?

    Were your expectations of the job and this ☐ Yes ☐ No Please explain :
    organization met?

    Were your talents and skills used in completion of ☐ Yes ☐ No Please explain :
    projects?

    Was your career path and future with our organization ☐ Yes ☐ No If not, please explain :
    made clear to you?

    Were there any positive aspects about your job, ☐ Yes ☐ No Please explain :
    manager, or the organization that caused you to stay
    as long as you did?
    Were there barriers to productivity in your job or work ☐ Yes ☐ No Please explain :
    unit?

    Would you recommend JD.ID to other as a good Please explain:


    organization to work for?

    What did you like most about your job? Please explain:

    What did you like least about your job? Please explain:

    What would you suggest to management to make our Please explain:


    organization better?

    Section 9 Additional Comments (OPTIONAL)


    Please provide any additional comments:

    Section 10 – Required Information


    Please provide the information below. This information will solely be used for additional data analysis.
    Name: Department:
    Division/Unit: Length of Service:
    Position Title: Manager Name:
    Phone Number: Personal Email:

    Thank you for providing your feedback. Your participation is appreciated.


    Please submit the completed from to your Human Resources Business Partner.

    Page 3 of 3
    ID. 007/R.00/F/HR/V/2020

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