Employee Exit Interview Questionnaire

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EMPLOYEE EXIT INTERVIEW QUESTIONNAIRE
Interviewer :
Date_________________________
Employee=s Name_________________________________
Social Security #___________________ Phone Number (
)____________________
Sponsor
_________________________________________________
Employee=s Supervisor_______________________________________
Related Class School Attended
________________________________________________________
WHAT IS YOUR MOST SIGNIFICANT REASON(S) FOR LEAVING (circle)
Better Opportunity
Maternity
No Health Benefits
Better Compensation
Marriage
Economics Reasons (Check)
Child Care ___
Better Working Conditions
Relocation
Cost of School ___
Lack of Work ___
Lack of Training OJT/School Military
Parking Fees ___
Job Lay-off
Health Issues
Poor Supervision
Co-Workers
Termination
Transportation Problems
******************************************************************************
Over Please

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