Exit Interview

XYZ Systems is committed to providing a positive work environment for its employees. This Exit Interview Process provides a valuable source of information to assist us to assess the overall quality of work life at XYZ. We therefore appreciate that you have agreed to take a few minutes to complete this questionnaire. Your responses will be treated with total confidence.

1. Name (optional):

2. Business Unit/Function:

i.e. Marketing, Financials, Purchasing, Land, AEW&C, Commercial, House Keeping ..….

6. Sex: Male Female

10. Please indicate the reason/s you are leaving XYZ Systems

Salary/Wage	Employment Conditions	Career Opportunities
Flexible work practices	Interesting Work	Work Location
Workplace Culture and Values	Family Reasons	End of Contract
Redundancy	Retirement	Others