The Exit Interview document (attached) should be filled out by all departing employees.

EXIT INTERVIEW

1. Employee's reason(s) and explanation for termination?:
2. What types of problems have you had about working here?
3. Comment on the supervision you received:
   1. Were you given sufficient and consistent instructions on how to perform your job?
   2. Were your questions answered satisfactorily?
   3. Were general policies and procedures defined clearly for you?
4. Were you satisfied with the following. If not, why?
   1. Salary
   2. Benefits
   3. Working conditions
   4. Were relationships with your co-workers satisfactory?
5. How were you chances for training and promotion, as you saw them?
6. What did you like about working with the ___________ department at KBOO?
7. Would you consider returning to work here?
8. Comments:  (Please use additional sheets of paper if necessary.)

Interviewer's Signature _________________________________

Date _________________________________