Name *

Job Title *

Date

1.How long have you been considering leaving our company?

2.How did the job match expectations?

3.What reason below primarily describes your reason for leaving?

4.If you have accepted a new position, please select all the items that are more attractive about your new role:

5.What did you like most about your job?

6.What did you dislike about your job? What would you change about your job?

7.How would you describe the culture of our company?

8.How would you describe the general atmosphere in the company?

9.The quality of supervision is important to most people at work. How was your relationship with your manager?

10.What could your manager do to improve his or her management style and skill?

11.Do you believe your manager supported your professional development?

12.Please provide any context to further describe your reasons for leaving. Was there an event that led to this decision?

13.What are 1-2 things our company could do to promote a better workplace?

14.Please provide context and any additional feedback you’d like to provide on your manager

SUBMIT