Exit Interview Form

Tools

A red asterisk (*) indicates required questions.

Employee Name*

Employee ID*

Eligible for Rehire*

	Yes
	No

Reason for leaving*

	Higher Salary
	Career advancement/change
	Dissatisfaction with supervision
	Unresolved compliant
	Lack of job security
	Dissatisfied with working hours
	Policies & Procedures
	Work environment
	Moving to a different industry
	Non-competitive benefits
	Transportation problems
	Retirement
	Dissatisfied with organizational culture
	Dissatisfied with job
	Recognition & Rewards
	Higher Education
	Health Issues
	Family Reasons (e.g. Marriage, Relocation, etc.)
	Received an employment offer without actively seeking another job
	Personal reasons
	Others

Please elaborate, if you have choosen the option "Personal reasons" or "Others"*

Performance*

Are you leaving for a similar job?*

How is your new job different from the present one?*

What part does salary play in your decision to leave?*

What prompted you to start looking for a new job?*

What could Minacs have done to retain you?*

What does the new job offer that your job here did not offer?*

What role if any did your supervisor play in your decision to leave?*

Would you work for Minacs again?*

	Yes
	No

If your response to the previous question is "Yes" or "No" please elaborate.*

Is there any feedback you would like to give us?*

What do you value about the company?

Learning and Quality Excellence

Concentrix

Bangalore