This employee exit survey is designed to help organizations gather valuable and actionable feedback from departing employees to identify areas for improvement and use the information to reduce turnover, improve retention, and boost employee experience.
__________________________________________
Please complete the exit survey below and return it to the Human Resources (HR) department. We appreciate your candid answers to the questions below. Your results will be kept confidential and used to improve our internal processes. Your feedback would be vital in helping [Company Name] understand employee experiences and assess the potential for rehire. Thank you for your cooperation!
Employee Name: _________________________
Department: ____________________________
Position: ____________________________
Hire Date: ____________________________
Separation Date: ____________________________
Manager: ____________________________
1. What prompted you to leave the company?
(Check all that apply)
☐ Career advancement opportunities elsewhere
☐ Higher compensation and benefits
☐ Lack of recognition
☐ Relationship with supervisor/manager
☐ Company culture and values
☐ Educational or upskilling pursuit
☐ Family or personal commitments
☐ Other: ____________________________
2. Please rate your experience at [Company Name] for each of the following parameters, using a scale of 1 to 5.
(5 = Highly Satisfied, 1 = Highly Dissatisfied)
Employment Experience | 5 | 4 | 3 | 2 | 1 | |
Compensation and benefits | ||||||
Mentorship and support | ||||||
Company culture and leadership | ||||||
Work-life balance and well-being | ||||||
Training and skill development opportunities | ||||||
Relationship with managers or coworkers | ||||||
Satisfaction with job role and responsibilities | ||||||
Career growth and development opportunities | ||||||
| Fairness and inclusivity |
Provide comments or suggestions for improvement:
________________________________________________________________________________________
Please enter "Y" (Yes) or "N" (No) for each question and provide a reason in the Comments section.
Question | Y/N | Comments (Please provide a reason) |
Would you consider returning to [Company Name] in the future if the right opportunity arose? | ||
Would you recommend [Company Name] as an employer to others? | ||
Would you be interested in staying connected with us through the company’s alumni network or professional group? |
We sincerely appreciate your contributions to [Company Name]. Thank you for your feedback, and we wish you success in your next chapter. We hope to stay connected.
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