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1、本资料由三茅人力资源网 整理机密:该问卷内容不经填写人允许，不得向负责离职面谈工作的TM代表以及HR代表以外的第三方透漏。Exit interview questionnaire离职问卷姓名:Name:入职日期 Join Date：离职日期 Leave Date：部门:Department直属上司:Superior职位:Position面谈日期:Interview Date离职原因Reason(s)辞职 辞退 合同期满 裁员 其它Resignation Dismissal Contract Expiration Disband Others咨询内容Content满意Satisfied一般Ave
2、rage不满意Dissatisfied若不满意, 请说明原因If dissatisfied, Why?个人事业发展前途Career prospect工资及调薪幅度Existing Salary & Salary Increase公司福利Fringe benefits工作内容Job duties上司 Supervisor同事Relationship with co-workers培训Training & Development管理制度Rules & Regulations工作环境Work environment企业文化 Corporate culture企业发展Company developme
3、nt1. What attracted you to the join us? 吸引您加入我们公司是什么?2. Could you please indicate what you enjoyed the most /the least about your employment with CIGNA&CMC? 您最满意和最不满意这份工作的什么方面? 3. What are the main reasons for leaving the company? 您主要的离职原因？4. Have you communicated with your superior about your job?
4、就工作, 您和直属上司沟通过吗?5. Are there any particular changes or improvements you would suggest be considered in the Department or Unit you are leaving? 对您的工作部门或公司有什么建议? 6. What is your plan for the next job? 您对下一份工作的设想?7If employment, who will be your new employer and what attract you to the new job? 如果已经找到新
5、工作，新的公司名字是什么，新工作的什么方面吸引你？8. How do you think about your OT status in your team?在你的团队，你本人加班的状况如何：q 比较多属于自愿加班 q比较多属于非自愿加班 q.其他，请列出9. How do you think about your OT frequency in your team?在你的团队，你认为自己的加班次数： q次数很少 q次数可以接受 q次数偏多 q次数太多，很劳累 q其他,请列出10. How about OT status in other team according to your unde
6、rstanding? 据你的了解，其他团队的员工加班状况如何（Please point out the team names if convenient如果方便，可以列出是哪个团队）：q 比较多属于自愿加班 q比较多属于非自愿加班 q其他，请列出11. What is OT feedback from TMR of other team according to your understanding? 据你的了解，其他团队的员工对加班的反馈是（Please point out the team names if convenient如果方便，可以列出是哪个团队）：q次数很少 q次数可以接受 q
7、次数偏多 q次数太多，很劳累 q其他,请列出12. Could you provide any suggestion or advice on OT? 在加班这个问题上，你有何建议或意见_13. May we provide a copy of this Exit Interview Questionnaire to your Superior? 您同意将本离职问卷信息向您的上司透露吗?q YES 同意 q NO 不同意 If No, Signature of Employee:如果不同意, 请在此签名:OPTION TO DECLINE FURTHER EXIXT INTERVIEW 拒绝离
8、职面谈: I have been informed that I have the option of completing a confidential exit interview with a representative of the Department of Human Resources, but I have decided I do not wish to avail of this opportunity. 兹知悉人力资源部门有进一步的离职面谈安排, 但本人决定放弃该离职面谈机会.Employees Signature员工签名:Reason/s to decline拒绝面谈原因:员工签名及日期：Employees signature and date人力资源部门代表/签名及日期：HR Representatives signature and date注：若本表格空格不足应用，可用空白纸张作补充，有关人员签名作实后，请将副页与本表格一齐钉装，交人力资源部代表跟进。三茅人力资源网，中国最好的HR网站！