离职面谈表

Exit Interview Feedback Form

离职面谈反馈表

We believe that open, two-way communication is important to continued success. The exit interview is an opportunity for you to provide information and voice your opinions and feelings about your job, your department and the company as a whole.

我们相信开放的双向的交流对于不断的发展是非常重要的。本离职面谈旨在为你提供一个表达你对工作、部门和公司全面的

想法和感受的机会。

We are interested in knowing the reasons an employee has for leaving the company so we can identify root cause for departure,

take appropriate actions, and develop effective retention strategies.

我们有兴趣想了解员工为何离开公司，以便于公司确认离职的根本原因，采取适当的行动，并制定如何保留优秀员工的

策略。

We appreciate your time and participation in the exit interview process. Please accept our best wishes for success in your future endeavors. 我们非常感谢你花时间参与离职面谈。请接受我们对于你未来诚挚的祝福。

Background Information (for analysis purposes only)

背景资料(仅供分析)

Part 1: (Filled by Exit Interview Conductor)

第一部分：(

Date of exit interview ID #

离职面谈时间

Name

姓名

Gender Male Female

性别男女

Age16-29 30-39 40-49 50-59 60-69

年龄

70 +

Length of Service Less than 1 year1-5 years 6-10 years 11-15 years 16-20 years

哈啤服务年限少于一年1-5 年6-10 年11-15 年16-20 年

20 +

多于20年

Subsidiary/Departm ent BOT/Engineeri

ng

Administration

Office

Human

Resource

Sales

附属公司/部门工程技术行政办公人力资源销售

Group Brewery

集团总部

Job Title Grade Department 职位

Immediate Supervisor

直接上司离职日期

Part 2: (Filled by Resigned Employee)

第二部分：(由离职员工填写)

The following are influences that may have led to your decision to leave the company. Please select and rank the top 3 reasons for your departure and briefly tell us why they influenced your decision.

以下所列为可能影响你离开公司的原因。请按顺序选择列出三个影响你离职的原因，并简要说明。

Influences 影响

Personal 个人原因Job Related 工作原因General 总体

1Start my own business 自己做生意10 Job responsibilities

工作职责

22 Salary

工资

2Return to school 回学校学习11 Job challenge

工作挑战

23Benefits

福利

3Retire/not work 退休/不工作12 Sense of accomplishment

工作成就感

24Overall work environment

整体的工作环境

4Spouse relocation 家属工作地点13 Workload

工作负荷

25Company culture

公司文化

5Balance of work and personal life

平衡工作和个人生活14 Empowerment

工作授权

26Better job opportunity

更好的工作机会

6Physical/medical reasons 身体/生病原因15 The way I was treated

在工作上对待我的方式

27Lack of development

opportunities

缺少发展的机会

7Commuting Time 上下班交通时间16 Relationship with supervisor

与上级的关系

28Company policies and

procedures

公司政策、制度

8Overseas Study 出国留学17 Relationship with co-workers

与同事的关系

29Employment in another

geographic area

在其它地方得到工作

9Other personal reasons 其它个人原因18 Problems associated with work

与工作有关的问题

30Career change

职业改变

19 Not recognized for contributions

贡献得不到肯定

20 Insufficient performance

feedback

对工作表现的反馈不够

31Other

其它

21

.

Lack of flexibility

缺少工作灵活性

The most important influence on my departure was #____. It influenced me to leave for these reasons:

对我的离职产生最大影响的原因是# ________。具体原因是：

The second most important influence on my departure was # ____. It influenced me to leave for these reasons: 对我的离职产生第二大影响的原因是# ________。具体原因是：