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: HR/FRM-71
Rev: 02
EXIT INTERVIEW QUESTIONNAIRE FORM Date of Rev: March 31, 2015
Page: 1 of 2
CONFIDENTIAL
Dear Employee
As you leave us, we would like to ask you to share your concerns on your work experiences at Descon. We hope this information will not only help
organization to build on its strengths, but also become more conscious of its needs for improvement in specific areas. Better understanding the
responsibilities of your position will also assist Human Resources to effectively recruit your replacement.
We commit to holding all of your responses in strict confidence and will only use the data gathered in summary reports to study trends in employee
turnover. You may choose to sign this exit interview data sheet if you would like, but it is entirely voluntary.
What factors have contributed to your decision to leave DESCON? In case of more than one factor, rank in order of their importance/impact
on your decision to leave: (1 being the highest on the scale)
Sr.
No. Reason: Rating :
1 Higher Salary
2 Better Benefits
3 Conflicts with Supervisor
4 Limited Career Prospects
5 Working Conditions/Environment
6 Career Change
7 Improved work life balance
8 Family and/or personal reasons
9 Further Education
10 Retirement
11 Company's Management
12 Overseas Career Opportunity Overseas
13 Others (please specify and rate it as well)
This document is the Intellectual Property of Descon Engineering Limited. Any unauthorized use, including the modification and reproduction of the content is strictly prohibited. ©
Copyrights Ordinance 2002, All Rights Reserved.
Doc No.: HR/FRM-71
Rev: 02
EXIT INTERVIEW QUESTIONNAIRE FORM Date of Rev: March 31, 2015
Page: 2 of 2
CONFIDENTIAL
Part 3: If leaving for another job, which industry are you joining:
a. Can you describe a particular incident or moment which led to your decision of resignation:
Employee Signature
Human Resource Department
Date:
HR Representative Comments:
Name/Signatures
This document is the Intellectual Property of Descon Engineering Limited. Any unauthorized use, including the modification and reproduction of the content is strictly prohibited. ©
Copyrights Ordinance 2002, All Rights Reserved.