EXIT INTERVIEW FORMAT

One self-filled form must be there (preferably online) to get the most frank and honest
responses.
1. Reason for leaving (tick all relevant)
2. What was the single, most crucial factor in your decision of leaving this organization?
3. Is there anything that could have been done differently that may have changed or
delayed your decision to leave?
4. We believe that an employee leaving the organization will have an unbiased view of
the strengths & shortcomings of the organization. Please list three of each.
Strengths Weaknesses
1. 1.
2. 2.
3. 3.

5. What were your expectations at the time of joining Company? Please rank the
following factors in terms of importance at the time of your decision to join
Company.
Brand Image
Compensation
Career Advancement
Role & Responsibility
Work Environment
Job Security
Learning Opportunities
Just a job
Any Other, please specify

6. What did you most like about your Job?
7. What did you like least about your job?
8. Is there any particular point or incident you would like to record (in strictest
confidential between you and management) which may help management be aware
of certain factors of which they might be unaware.
9. Please rate the following as per your experience at PT&D L&T
, Support from supervisor, Work Culture, Performance Appraisal, Fairness and Ethical
Practices, Leadership, Learning opportunities, Career and Growth
EXIT INTERVIEW FORMAT
A brief form has to be filled up by every employee who has resigned. This will be followed
by an interview. This form is strictly confidential and should not be opened by any other
person other than the resigned employee and the concerned person at the HR Dept.

1. Reason for leaving (tick all relevant)











2. Compensation and Benefits

3. Support/Help from Supervisor

4. Work Culture

5. Performance Appraisal


Better Compensation offered
Further Studies
Not enough challenging work
Slow growth and career prospects
Overseas employment
Work-Life Balance
Issues with supervisor/peers/sub-ordinates
Any other (please specify)
Family Reasons/Relocation
Health Reasons
Opportunities in software, IT, Telecomm
Own Business
Work Culture
Unfair treatment
Ethical Issues







EXIT INTERVIEW FORMAT
6. Fairness in treating employees and Ethical Practices

7. Style of Leadership/Management

8. Learning Opportunities

9. Career and Growth Prospects

10. Facilities at workplace

10. What were your expectations at the time of joining Company? Please rank the following
factors in terms of importance at the time of your decision to join Company.








Brand Image
Compensation
Career Advancement.
Role & Responsibility..
Work Environment..
Job Security.
Learning Opportunities.
Just a job.
Any other, please specify.
EXIT INTERVIEW FORMAT
11. What was the single, most crucial factor in your decision of leaving this organization?




12. We believe that an employee leaving the organization will have an unbiased view of the
strengths & shortcomings of the organization. Please list three of each.
Strengths Weaknesses
1. 1.
2. 2.
3. 3.

13. Is there any particular point or incident you would like to record (in strictest confidential
between you and management) which may help management be aware of certain
factors of which they might be unaware.






14. Any other comments, if any.