Sample Exit Interview Questionnaire

Sample Exit Interview Questionnaire (downloadable pdf) from the Memorial University of Newfoundland.

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Salary level and compensation practices generally ❑  Excellent ❑  Very Good   ❑  Good ❑  Poor  ❑  Very Poor

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Insurance benefits ❑  Excellent ❑  Very Good   ❑  Good ❑  Poor  ❑  Very Poor

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Pension plan ❑  Excellent ❑  Very Good   ❑  Good ❑  Poor  ❑  Very Poor

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Opportunities for growth and advancement ❑  Excellent ❑  Very Good   ❑  Good ❑  Poor  ❑  Very Poor

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Direction received from your Supervisor/Head ❑  Excellent ❑  Very Good   ❑  Good ❑  Poor  ❑  Very Poor

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Support received from your Supervisor/Head ❑  Excellent ❑  Very Good   ❑  Good ❑  Poor  ❑  Very Poor

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Quality of training and development programs ❑  Excellent ❑  Very Good   ❑  Good ❑  Poor ❑  Very Poor

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Relationships with co-workers ❑  Excellent ❑  Very Good   ❑  Good ❑  Poor ❑  Very Poor

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Physical working conditions ❑  Excellent ❑  Very Good   ❑  Good ❑  Poor ❑  Very Poor

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Job satisfaction ❑  Very High    ❑  High ❑  Average ❑  Low ❑  Very Low

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Overall satisfaction with Memorial as an employer ❑  Very High    ❑  High ❑  Average ❑  Low  ❑  Very Low

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Overall satisfaction with the Department I am leaving ❑  Very High    ❑  High ❑  Average ❑  Low  ❑  Very Low

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Could you please indicate what you enjoyed the most about your employment with Memorial?
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Could you please indicate what you enjoyed the least about your employment with Memorial?
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Are there any particular changes or improvements you would suggest be considered in the Department or Unit you are leaving?
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