Employee Name Position/Job Title Department/Team Manager/Supervisor Start Date Last Working Day

Primary Reason for Leaving Career Development Compensation/Benefits Remote Work Experience Workload Management Personal Reasons Other Please elaborate on your reason for leaving

How would you describe your overall remote work experience? Did you feel supported by your manager and team while working remotely? How would you rate communication within your team? Excellent Good Average Poor What challenges did you face while working remotely?

What could we have done to make your remote experience better? Any additional comments or feedback?