Were you treated fairly while employed at the company? If not, what was the specific nature of the problem?
Do you know of, or had you heard of, any problems that employees have had working while working at the company?
Would you recommend the company to your friends as a good place to work?
What, if anything, prevented you from performing high quality work at the company?
What, if any, changes in equipment, procedures, training or work space flows would have helped you better perform your job responsibilities?
May we call you for clarification or additional information if necessary?
Home phone number___________________
Exit Interviewer’s Signature
Date of Exit Interview