Exit Interview Letter Format by Bizfoc.

EXIT INTERVIEW FORM

Employee Information:

Reason for Leaving

1. What is your primary reason for leaving the company? (Tick all that apply)

   • Better Career Opportunity
   • Salary or Benefits
   • Lack of Growth Opportunities
   • Relocation
   • Personal Reasons
   • Work-Life Balance
   • Management Style
   • Job Role and Responsibilities
   • Others (Please specify): ___________________________

2. Was your decision influenced by a specific incident or event?

   • Yes
   • No
   • If yes, please provide details:

   ___________________________________________

Work Environment and Culture

1. How would you rate the following aspects of your work experience? (Rate 1 - Poor to 5 - Excellent)

   • Work Environment: 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐
   • Team Collaboration: 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐
   • Communication with Management: 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐
   • Leadership Support: 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐
   • Work-Life Balance: 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐


2. What did you like most about working here?

________________________________________________________________________



3. What could we have done to improve your experience?

________________________________________________________________________

Job Role and Responsibilities

1. Were your job responsibilities clearly defined?

   • Yes
   • No



2. Did you receive adequate training and resources to perform your job effectively?

   • Yes
   • No



3. Were you satisfied with opportunities for growth and development?

   • Yes
   • No

Compensation and Benefits

1. How satisfied were you with your salary and benefits? (Rate 1 - Poor to 5 - Excellent)

   • Salary: 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐
   • Benefits: 1 ☐ 2 ☐ 3 ☐ 4 ☐ 5 ☐

2. Were the company’s policies and procedures clear to you?

   • ☑ Yes
   • ☑ No

Suggestions and Feedback

1. Would you recommend [Company Name] as a good place to work?

   • Yes
   • No

2. What suggestions do you have for improving our workplace?

________________________________________________________________________

3. Is there anything else you would like to share?

________________________________________________________________________

Acknowledgment

I hereby acknowledge that I have provided the above information voluntarily and to the best of my knowledge.

Employee Signature: ___________________________

Date: ___________________________

HR Representative Signature: ___________________________

Date: ___________________________