Employee Name *
Position *
Direct Supervisor *
Why did you leave the Company?
What situation or events (if any) led to your decision to leave?
When did you first start thinking about leaving?
What is your current opinion of the Department? What led to that opinion?
What is your feeling about the last job you held with the Company? What lead to those feelings?
Was that job consistent with the position description? If no, what were the differences?
What suggestions do you have for improvements in the way the job was done? (Procedures, workflow, relationships, etc.)
Were you adequately trained to perform the job? If not, what training would you suggest?
What other comments do you have?