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Exit Interview
Employee Name
Manager's Name
Start Date
MM slash DD slash YYYY
Date of Separation
MM slash DD slash YYYY
Job Title
Department
Reason for leaving.
Higher Pay
Better Benefits
Better Opportunity
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Conflict with management
Company Culture
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Work/Life Balance
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Other
Please choose all that apply.
If "Other" Please describe your reason for leaving.
Workplace Rating (1-Lowest 5-Highest)
New Hire Orientation
1
2
3
4
5
On-Boarding
1
2
3
4
5
Compensation | Pay
1
2
3
4
5
Benefits
1
2
3
4
5
Safety Training
1
2
3
4
5
On-the-Job Safety
1
2
3
4
5
Access to Job Training & Development
1
2
3
4
5
Equipment, tools, and resources to do your job successfully
1
2
3
4
5
Job duties and expectations clearly defined
1
2
3
4
5
Job Satisfaction
1
2
3
4
5
Career Path Opportunities
1
2
3
4
5
Supervision | Management
1
2
3
4
5
Company Leadership
1
2
3
4
5
Company Culture
1
2
3
4
5
Would you consider re-employment with Das-Co Of Idaho in the future?
Yes
No
Additional Comments | Feedback
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Eastern Application
ESOPO
Employee Resources
Shop
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Merch
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