Exit Questionnaire (staff)

Employee Name *

Manager's Name *

Department *


Compensation and Benefits

Career Development (training, learning, promotion, etc.)

Your immediate Manager/ supervisor (style, leadership, etc.)

Environment (peers, atmosphere management support, office setup…etc.)

Nature of the job (Job not interesting)

Work Load / Stress / working hours

Personal reasons


Overall assessment (Please tell us about any improvements company can make to avoid one or more of the above main leaving reasons) *

Advantages of working in your company (Please identify advantages of working in your company) *

I would consider joining your company in the future in the same Department *

I would consider joining your company in the future in a different Department *

I would consider working with my manager in the future in a different Organization *

Are you intending to continue working immediately? *

Does your new position offer higher remuneration? *

Does your new position offer greater career responsibility? *