Free Exit Interview Feedback HR Template
Exit Interview Feedback
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Date: |
[Date] |
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Employee Name: |
[Name] |
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Position: |
[Position] |
This Exit Interview Feedback Form is intended to provide [Company Name] with valuable insights into the employee experience and identify opportunities for improvement. Your feedback is highly appreciated and will be used to enhance the work environment for current and future employees.
Instructions: Please rate the following statements on a scale from 1 to 5, where 1 = Strongly Disagree and 5 = Strongly Agree. Provide additional comments where necessary.
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Statement |
Rating (1-5) |
Comments |
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I was satisfied with my overall experience at [Company Name]. |
4 |
Could have been better but the experience overall was quite satisfying |
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My work was valued by my team and supervisors. |
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I received adequate training to perform my job effectively. |
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I had a good work-life balance. |
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I felt my compensation was fair and competitive. |
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I would recommend [Company Name] as a good place to work. |
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Open-Ended Questions:
What were the highlights of your time at [Company Name]?
What challenges did you face, and how could they have been avoided or mitigated?
Do you have any suggestions for improvement in the following areas?
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Leadership:
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Team Dynamics:
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Work Environment:
Would you consider re-employment with [Company Name] in the future? Why or why not?
Any additional comments:
By completing this form, you are consenting to the use of this information for organizational improvement purposes.
Signature:
Date:
Thank you for your time and valuable feedback. We wish you all the best in your future endeavors.
For any concerns about this form or the exit interview process, please contact [Company Email] or [Company Phone Number].
HR Department Use Only
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Reviewed By |
Date |
Action Items |
This form is confidential and will be stored in compliance with privacy laws and regulations.
