Obtaining Feedback from Departing Employee

Description:

For your convenience and ease of reference, we have created a template of Employee Exit Survey. You can use this template as such or modify it to suit your needs. Alternatively, you can design your own survey from scratch.


Please select the option that best describes the following statements about your immediate supervisor.:My supervisor and I had a good working relation






Please select the option that best describes the following statements about your immediate supervisor.:My supervisor gave clear and precise instructio






Please select the option that best describes the following statements about your immediate supervisor.:My supervisor was open to suggestions and new i






Please select the option that best describes the following statements about your immediate supervisor.:My supervisor had a good knowledge of the job.






Please select the option that best describes the following statements about your immediate supervisor.:My supervisor never failed to recognize employe






Did you ever have any kind of grievance during the course of your employment with our company?



If yes, was the grievance resolved?

Please rate the following aspects of the job you held with us.:Remuneration






Please rate the following aspects of the job you held with us.:Employee benefits






Please rate the following aspects of the job you held with us.:Rewards and recognition






Please rate the following aspects of the job you held with us.:Career advancement






Please rate the following aspects of the job you held with us.:Job challenge






Please rate the following aspects of the job you held with us.:Communication






Please rate the following aspects of the job you held with us.:Job autonomy






Please rate the following aspects of the job you held with us.:Physical conditions of work






Please rate the following aspects of the job you held with us.:Workload






Please rate the following aspects of the job you held with us.:Training






For how long did you work in our company?






For how long did you work in our company?






Do you think you could have a similar opportunity in our company?




Please select the option that best describes the following statements about the management.:The management was friendly and open minded






Please select the option that best describes the following statements about the management.:The management was fair and impartial.






Please select the option that best describes the following statements about the management.:The management was considerate and understanding.






Please select the option that best describes the following statements about the management.:The management was able to effectively handle all kinds of






For what reason(s) are you leaving the company? (Choose all that apply.)

Other, please specify.

If you had a similar opportunity in our company, would you have stayed?




What kind of organization is your new place of work?





Would you ever consider working with us again?




What was your motivation for joining our company? (Choose all that apply.)

Other

What department were you working in?









Other

The grievance handling procedure was:






If you have any suggestions regarding changes/improvements that can be made in the company, please write them in the space below.

Please specify your gender.



Please give a brief description of the kind of work and responsibilities you will be handling in your new place of work. (Optional)