Grocery Store Exit Interview Questionnaire
Employee Name
Position
Department
Last Day of Employment
Supervisor/Manager Name
Reason for Leaving
New Opportunity
Career Change
Personal Reasons
Returning to School
Relocation
Dissatisfaction with Pay
Dissatisfaction with Schedule
Work Environment
Other
If Other, please specify
Job Satisfaction
How satisfied were you with your overall experience?
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
Comments on your experience
Compensation & Benefits
How would you rate the compensation and benefits?
Excellent
Good
Average
Poor
Any comments or suggestions about compensation and benefits?
Work Environment
How would you describe the work environment?
Did you feel adequately supported by your supervisor/management?
Yes
No
If no, please explain
Training & Development
How would you rate the training you received?
Excellent
Good
Fair
Poor
Comments about training
General Feedback
What did you enjoy most about working here?
What would you change or improve?
Would you recommend this store as a place to work?
Yes
No
Any additional comments?