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Exit Interview Sample Template
Question 1.
Your Details
Name
Department
Position
Question 2.
Date of Resignation:
Question 3.
Your Age
18 - 20
21 - 22
23 - 25
26 - 28
29 - 32
33 - 40
41+
Question 4.
Gender
Male
Female
Question 5.
Term of employment with your company
Less than 3 months
3 - 6 months
6 - 12 months
12 - 18 months
18 - 24 months
2 - 3 years
3 - 4 years
4 - 6 years
6 - 8 years
8 years +
