Employee Exit Form
Employee Name
*
First Name
Last Name
Which Department did they belong to?
Please Select
Marketing
Sales/Biz Dev
Contractor Success Manager (CSM)
Claim Specialist
Resolution Specialist
Payout Specialist
ADR Specialist
Depreciation Specialist
Production Manager
Development Team
Management Team
Human Resources
Reception
Operations Team
Development Team
Job Title
*
Reporting Manager
*
Last Day of work?
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Last Payroll Date?
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for exit
Did Exit Interview Take Place?
*
Yes
No
What prompted you to start looking for another opportunity?
Did your experience here match your expectations when you first joined?
Did you feel your work was recognized and appreciated?
What aspects of your job did you enjoy the most?
How would you describe the work culture here?
Did you feel supported by your manager and team?
How well do you think communication flowed between management and staff?
How satisfied were you with your pay and benefits?
Were there any benefits you wish the company had offered?
Did you find the company policies clear and fair?
Additional Comments:
Submitted by:
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