1、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
2、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 apprec
3、iate 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：(由离职面谈执行者填写) Date of exit
4、 interview ID # 离职面谈时间 身份证Name姓名Gender Male Female性别 男 女Age 16-29 30-39 40-49 50-59 60-69年龄70 +Length of Service Less than 1 year 1-5 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/DepartmentBOT/EngineeringAdministration OfficeHuman ResourceSales
5、 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 工厂 Job Title Grade Department职位 级别 部门 Immediate Supervisor Termination Date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 r
6、easons 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1 Start my own business自己做生意10 Job responsibilities工作职责22 Salary工资2 Return to school回学校学习11 Job challenge 工作挑战23 Benefits福利
7、3 Retire/not work退休/不工作12 Sense of accomplishment工作成就感24 Overall work environment整体的工作环境4 Spouse relocation家属工作地点13 Workload工作负荷25 Company culture公司文化5 Balance of work and personal life平衡工作和个人生活14 Empowerment 工作授权26 Better job opportunity更好的工作机会6 Physical/medical reasons身体/生病原因15 The way I was treat
8、ed在工作上对待我的方式27 Lack of development opportunities缺少发展的机会7 Commuting Time 上下班交通时间16 Relationship with supervisor与上级的关系28 Company policies and procedures公司政策、制度8 Overseas Study出国留学17 Relationship with co-workers与同事的关系29 Employment in another geographic area在其它地方得到工作9 Other personal reasons其它个人原因18 Prob
9、lems associated with work与工作有关的问题30 Career 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31 Other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
10、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：The third most important influence on my departure was #_. It influenced me to leave for these reasons:对我的离职产生第三大影响的原因是# _。具体原因是：Part 3: (Filled by Resignated Employe
11、e)第三部分：(由离职员工填写)If you are leaving the company because of a work-related concern (rather than for personal reasons), did you try to have this concern addressed? _ If yes, what did you do, and what was the outcome? If no, why not?若是你的离职最主要是由于与工作相关的原因(而非个人原因)，你是否想解决这问题？_ 若是，你想怎么做，要求得到怎样的结果？若不是，为什么不？Pl
12、ease tell us what you liked best and least about working at the company:请告诉我们在我们公司工作最喜欢和最不喜欢的几点：Best最喜欢Least最不喜欢If you could change one thing about your job to make it easier, better, more productive or more enjoyable for your successor or co-workers, what would it be?若你可以做一件事使你的接任者或同事工作得更容易、更好、更有效或
13、更能乐忠于工作，你会选择做哪件？If you have accepted another job, please tell us the following about your new employment:若你已接受了其它工作，可否告诉我们关于你新的雇佣者以下的资料：Company name:公司名称Company address:公司地址Job title:职位Part 4: (Filled by Exit Interview Conductor)第四部分：(由离职面谈执行者填写)- Major reason for resignation：离职主要原因- Any action sugg
14、ested to keep the person：对于保留此员工有否建议- Any suggestions to improve the areas caused the resignation to improve the retention:有何建议去解决造成此员工离职的有关问题，以改进保留优秀员工的工作To：Cc： 需要将该谈话的小结限制在部门经理级，不得转发HR人员Fm：人力资源部 *Re：离职人员谈话小结离职人： 面谈时间： 年 月 日工作部门 岗 位 性别 入厂时间 离厂时间 面谈人离开哈啤的原因：对哈啤的看法：总体评价：管理：压力：沟通：人际关系：最自豪的工作成就：最沮丧的时候：对公司的建议：1、
