APPENDIX 25 – Exit Interview Form

EXIT INTERVIEW FORM

Full Name:      

Position:       Date of Leaving:      

Length of Service:       Years       Months      

If resignation what are main reasons? (please tick box)

1. Career 2. 3. Financial 4. 5. Fired / 6 Not Fit

Development Management (be specific) Domestic / Redundant
Physical

Is employee going to another job? Yes No

If Yes:

What job?      

Salary:      

Where? (name and type of company)      

Describe any conditions making the new job more attractive than present job:

     

If No:
Please outline reason:      

Does this interview suggest any course of corrective action?

Recommendation:      

Interviewer Name:      

Position:       Date:      

 APPENDIX 25 – Exit Interview Form

AREAS FOR SPECIFIC INVESTIGATION EMPLOYEE’S COMMENTS

1. PACKAGE      
 In general
 Comparisons
- Inside credit union
- Outside credit union
 Long range prospects
2. CONDITIONS      
 Travel
 Hours
 Amenities
 Others
3. FEELINGS ABOUT THE JOB      
 Easy/hard to learn
 Interesting
 Parts liked/disliked
 Work pressure suggested changes
4. SUITABILITY OF THE JOB      
 If the job didn’t suit the employee’s
abilities or interests, what sort of
person would it suit better?
5. PERSONAL RELATIONS      
 Supervisors/Managers
 Colleagues
 Organisation in general
6. RECOGNITION      
 Efforts appreciated
 Encouragement
7. APPRAISALS/REVIEWS      
 Undertaken
 Fairness
8. OPPORTUNITY FOR PROMOTION      
 Within department
 Organisation in general
9. ANY OTHER FACTORS      
 Employee’s general thoughts about
the company as an employer, and
suggestions how to make it a better
place in which to work
Would the employee ever consider
reapplying for another position in the Yes No
credit union?
Would we re-employ? Yes No
Would we re-employ in a specific job? Yes No
 APPENDIX 25 – Exit Interview Form

NOTES FOR EXIT INTERVIEWS

Suggestions to Interviewer:

 Explain reason for interview – to assist the credit union to understand what
employees think and so lead to possible improvements

 Assure that critical or personal comments will remain confidential, but general
notes will be taken, because the credit union regards these interviews as
important and wishes to make improvements where possible

 Conduct the interview using the sub-headings to help direct discussion

 Interviews should flow informally rather than an obvious attempt to get

answers to a number of set questions

 Cover all items on the form, in any order, and explore unusual responses