Lee Lewis Construction, Inc. Employee Exit Interview

• Employee Name

• Employee Number

• Position

• Department

• Hire Date

  Date

• Separation Date

  Date

• Prepared by

• Conducted on

  Date
• Location
  Address

Company Property and Accounts

• This section is mandatory. If you do not have an answer to the question (i.e. you did not receive a computer), place N/A in the field.

Phones

• Wireless Number

• Lock Code

• Model

• Serial Number

• Is the device fully functional and undamaged?

  Yes

  No

  N/A

Tablets

• Wireless Number

• Lock Code

• Model

• Serial Number

• Is the device fully functional and undamaged?

  Yes

  No

  N/A

Computers

• Username

• Password

• Serial Number

• Is the device fully functional and undamaged?

  Yes

  No

  N/A

Vehicles

• Year, Make, and Model

• VIN Number

• License Plate

• Number of Keys

• Has all personal property been removed?

  Yes

  No

• Has the vehicle been cleaned?

  Yes

  No

• Is the vehicle fully functional and undamaged?

  Yes

  No

Email

• Username

• Password

• Is there any other company property that you have? If so, list it below.

  Yes

  No

  N/A

• Are there any other company accounts you have access to? If so, list the account name, username, and passwords below.

  Yes

  No

  N/A

Exit Questionnaire

• Please fill out the information below to the best of your ability. You may use specific examples or events and identify people and companies.

• Why have you decided to leave?

• What has been good or enjoyable about your time with us?

• What has been frustrating or difficult about your time with us?

• How do you generally feel about Lee Lewis Construction, Inc.? What did you like most and least?

• Did your job duties turn out to be expected?

• Did you receive enough training to do your job effectively?

• Did you receive adequate support to do your job?

• What would you improve to make our workplace better?

• What do you think it takes succeed at this company?

• Would you consider returning to work for this company in the future?

  Yes

  No

  N/A

• Would you recommend Lee Lewis Construction, Inc. to friends or family?

  Yes

  No

  N/A

• Are you moving to a competitor of Lee Lewis Construction, Inc.?

  Yes

  No

  N/A

• What does your new company offer that this company doesn't?

• What examples of waste (material or effort), pointless reports, meetings, bureaucracy, etc., could you point too?

• What specific suggestions would you have for how the organization could manage this situation/ these issues better in the future?

• Employee Signature

  Sign

• Interviewer Signature

  Sign