Exit Interview Form

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EXIT INTERVIEW FORM
The purpose of this exit interview is to give you an opportunity to say what you think about key
aspects of the Department that had been employing you. Your comments will be very important
to the Public Service Commission in it’s effort to improve the performance of the Department that
employed you and also the rest of the Public Service.
(Please use additional papers, if require for answering these questions)
Name: _______________________________________________________________________
Date of appointment to the Service:________________________________________________
Post held at the time of leaving: ___________________________________________________
Employing Department: _________________________________________________________
JOB CONTENT
1.
How long have you worked for the Department/Ministry that you are leaving?
2.
What factors contributed to your accepting the job with*_________________________
3.
Have your feelings changed?
4.
Did you understand the job expectations when you were appointed?
5.
Did you receive sufficient training to meet those expectations?
6.
Did you know how or where to get information you needed to succeed in your job?
7.
Did the job meet your expectations?
EXIT INTERVIEW FORM
The purpose of this exit interview is to give you an opportunity to say what you think about key
aspects of the Department that had been employing you. Your comments will be very important
to the Public Service Commission in it’s effort to improve the performance of the Department that
employed you and also the rest of the Public Service.
(Please use additional papers, if require for answering these questions)
Name: _______________________________________________________________________
Date of appointment to the Service:________________________________________________
Post held at the time of leaving: ___________________________________________________
Employing Department: _________________________________________________________
JOB CONTENT
1.
How long have you worked for the Department/Ministry that you are leaving?
2.
What factors contributed to your accepting the job with*_________________________
3.
Have your feelings changed?
4.
Did you understand the job expectations when you were appointed?
5.
Did you receive sufficient training to meet those expectations?
6.
Did you know how or where to get information you needed to succeed in your job?
7.
Did the job meet your expectations?
MINISTRY/DEPARTMENT AS A PLACE TO WORK
8.
How would you rate the following aspects of your employment in this Department?
Aspect of Employment
Excellent
Good
Fair
Poor
Opportunity for
Advancement
Performance Appraisals
Physical Working
Conditions
Your Salary
Vacation/Holidays
Feeling of Belonging
Relationship with other
staff
9.
If you were the Head of this Department, what would you do differently?
10.
What did you most like about this Department?
11.
What did you like the least in this Department?
QUALITY OF SUPERVISION
12.
How would you rate your supervisor in the following areas?
Supervisory Area
Excellent
Good
Fair
Poor
Demonstrates Fair and Equal
Treatment
Provides Appropriate
Recognition
Resolves Complaints/Difficulties
in Timely Fashion
Follows Policy, Procedures and
Regulations
Informs all Employees of
Matters Relating to Work
Encourage Feedback
Is Knowledgeable in own Job
Expresses Instructions Clearly
Develops Cooperation and Team
Work
13.
If you came back to work for this Department, would you work for the same supervisor?
REASONS FOR LEAVING
14.
What factors have led you to decide to leave the Department?
15.
What factors were most important in choosing your new job?
16.
What part does salary play in your decision to leave?
17.
What made you begin looking for another position, in another organization?
18.
What could *______________________________ have done to prevent you from
leaving?
19.
If you are going to another job, what does the job offer you that your job here did not?
Employee Signature:________________________________________________________
Date:
__________________________________
Public Service Commission Representative Signature:______________________________
Date:
__________________________________
*Name of employing Department/Ministry

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