exitinterviewcomprehensiveform15

							Exit interview (comprehensive)                                                                   Form 15

We would like to thank you for your loyalty, hard work and dedication that you displayed as a member of our
team. Although your departure is a loss to our business, we wish you the very best in your future career
choices.

As a departing member of our team, we value any comments or feedback you are willing to share with us
regarding the strengths of our business and any areas where we could improve as an employer and provide a
better place to work.

Your comments and suggestions can assist us to improve the way we operate and the working environment.

You can complete the exit interview form yourself or participate in an interview with a nominated manager.

Your details


Current age                          Employment status                     Length of service
 15–25 years                         Permanent full-time                  0 – 6 months
 26–35 years                         Permanent part-time                  6–12 months
 36–45 years                         Contract full-time                   1–2 years
 45–55 years                         Contract part time                   2–5 years
 > 55 years                          Casual                               5–10 years
                                      Temporary                            > 10 years
                                      Other: _____________

Gender                        Position title: ____________
 Male
 Female
Name (optional):
__________________________________________________________________________________________

Manager’s name (optional):
__________________________________________________________________________________________

Reason for leaving
 Self-employment        Maternity/family reasons                Retirement                     Salary
 Job dissatisfaction    Interpersonal conflict                  Travel                         Study

Other (please specify):
__________________________________________________________________________________________

About us

What are the things you believe this business does well?
__________________________________________________________________________________________
__________________________________________________________________________________________

What do you consider to be some of the highlights or positive experiences of your employment?
__________________________________________________________________________________________
__________________________________________________________________________________________

If you are leaving to join another organisation, what does it offer that we do not?
__________________________________________________________________________________________
__________________________________________________________________________________________

Could we have done something differently to encourage you to stay?
__________________________________________________________________________________________
__________________________________________________________________________________________
Exit interview (comprehensive) (cont.)                                                                    Form 15

What are the things you believe we need to improve on?
__________________________________________________________________________________________
__________________________________________________________________________________________

What do you consider to be some of the unhappy or negative experiences of your employment?
__________________________________________________________________________________________
__________________________________________________________________________________________

How well do we deal with career development?
__________________________________________________________________________________________
__________________________________________________________________________________________

Would you recommend employment with us to a friend? Why/ why not?
__________________________________________________________________________________________
__________________________________________________________________________________________


About us Please select from: 1 – Highly Satisfied 2 – Satisfied 3 – Neutral 4 – Dissatisfied 5 – Highly Dissatisfied

1        2        3        4        5        Workload and task allocation was appropriate
1        2        3        4        5        Ability to obtain leave
1        2        3        4        5        Work safety
1        2        3        4        5        Facilities
1        2        3        4        5        Management dealing with conflict
1        2        3        4        5        Induction or orientation process (on commencement)
1        2        3        4        5        Job satisfaction with your role
1        2        3        4        5        Job security
1        2        3        4        5        Performance management process (feedback on your performance)
1        2        3        4        5        The opportunity to use your existing skills/knowledge
1        2        3        4        5        Availability of work-related training/education/professional development
1        2        3        4        5        Employee involvement in improving standards and conditions
1        2        3        4        5        Work performance/efforts recognised
1        2        3        4        5        Work area adequately equipped
1        2        3        4        5        Flexible working hours
1        2        3        4        5        Communication of decisions and other issues affecting you
1        2        3        4        5        Relationship with your immediate manager
1        2        3        4        5        Team environment (approachability and relationships with peers)


Please provide any other information not covered above that has influenced your decision to cease your
employment with us.
__________________________________________________________________________________________
__________________________________________________________________________________________


Thank you for your time and honesty.