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Exit Interview

Version 1.0 Updated 22 Jun 2021
Forms & Checklists Separation

Who can use this form

This form can be used by all employers.


This form is designed to enable an employer to obtain feedback concerning the employee’s views on a range of issues including the reason for leaving, management styles and effectiveness, provision of learning opportunities, quality of the work environment, work/life balance etc.

This form includes an exit interview questionnaire to be completed by the exiting employee or to be used as a guide for face to face exit interviews by the person/department responsible for conducting the exit interview.

Only the exit interview questionnaire included with this form is to be provided to the exiting employee. The other information on the form is for the assistance of the person/department who has the responsibility for implementing the exit interview process.

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