Exit Interview Name (optional) Supervisor (optional) 1. Reason for leaving company*Personal ReasonsBenefits / CompensationCareer AdvancementWork Environment2. Please comment on your reasons for leaving.*In this section, please rate the following statements: Management3.I believe I was treated like a valuable member of the company*Strongly AgreeSomewhat AgreeSomewhat DisagreeStrongly Disagree4.My immediate supervisor let me know when I was doing a good job.*Strongly AgreeSomewhat AgreeSomewhat DisagreeStrongly Disagree5.I felt free to suggest to my supervisor changes that would improve my department.*Strongly AgreeSomewhat AgreeSomewhat DisagreeStrongly Disagree6.I had a formal performance review with my direct supervisor at least once per year.*Strongly AgreeSomewhat AgreeSomewhat DisagreeStrongly Disagree7.If I had questions, I felt comfortable speaking with senior management and/or human resources*Strongly AgreeSomewhat AgreeSomewhat DisagreeStrongly DisagreeTraining8.Initial orientation to company policies/benefits was sufficient.*Strongly AgreeSomewhat AgreeSomewhat DisagreeStrongly Disagree9.My job duties and responsibilities were clearly defined.*Strongly AgreeSomewhat AgreeSomewhat DisagreeStrongly Disagree10.My manager was supportive in meeting my training needs.*Strongly AgreeSomewhat AgreeSomewhat DisagreeStrongly DisagreeWork Environment11.The Company's policies were clearly understood and applied fairly.*Strongly AgreeSomewhat AgreeSomewhat DisagreeStrongly Disagree12.The process of hiring and promotions was handled in a fair manner.*Strongly AgreeSomewhat AgreeSomewhat DisagreeStrongly Disagree13.I was treated fairly by management and human resources.*Strongly AgreeSomewhat AgreeSomewhat DisagreeStrongly Disagree14.Employee problems and complaints were resolved fairly and promptly.*Strongly AgreeSomewhat AgreeSomewhat DisagreeStrongly Disagree15.The level of morale within my location or department was good.*Strongly AgreeSomewhat AgreeSomewhat DisagreeStrongly Disagree16.What suggestions for improvement do you have for us?Would you recommend this company to your friends as a good place to work?*YesNoPhoneThis field is for validation purposes and should be left unchanged.