- How to Avoid Costly Hiring Mistakes? - Need to Hire More Top Performers? - Want to Minimize Time to Fill Positions? - Are You Using Best Practices in Hiring? - Learn More About Human Capital Solutions?          Call Us at 480.503.2945

Employer Exit Survey

Welcome! Your personal contact information will remain confidential. Your Exit Survey results
are number coded to ensure your anonymity. The exact content of your Exit Survey answers will
be provided to your previous employer in a composite report (See Shared Survey Content).  We
don't provide a composite report to our clients until we have a minimum of five exit surveys
to further protect your anonymity.  HireSmart reserves the right, at its sole discretion, to evaluate
and delete surveys that appear to be incomplete, careless or of questionable integrity.  If you were
sent here at the request of your employer please enter the number code you were given by your
employer.  This same number code is used until we have five exit surveys to create a composite
report for our client.  After the composite report is delivered, a new number code is authorized. 
Thank you for participating!

Confidential Contact Information:

First Name:
Last Name:
Previous Employer / Company Name:
Number Code:
Most Recent Job Title:
Years with this Employer:
Phone:
Fax:
E-Mail Address:
Mailing Address:
City:
State:
Zip:

Shared Survey Content:

What was your primary reason for leaving this
employer? You may select more than one by
holding down your Ctrl key and clicking your mouse.
Career Goals Not Met Unpleasant Work Environment or Climate Conflicts with Supervisor or Manager Conflicts with Co-workers Not enough pay or compensation Inadequate benefits Poor job fit Performance expectations too high Job Stress Didn't fit into the organization Values or ethics conflicts Personal reasons

Please provide specific details and feedback.

What could have been done to make your job more
fulfilling, challenging or rewarding? You may select
more than one by holding down your Ctrl key and
clicking your mouse.
Improve job design Improve performance feedback Improve coaching and training Improve compensation and benefits Improve management or supervision systems Improve hiring or recruiting process Improve working conditions Add flex-time scheduling Add virtual office components Conduct job satisfaction surveys Reduce stress in work environment Add career development programs

Please provide specific details, feedback or
suggestions.

Did you speak with your supervisor or anyone
in management or human resources concerning
your career goals? Please describe.

What specific changes or recommendations would
you suggest for this employer?

What makes this company a good place to work?

What makes this company a poor place to work?

How does your new position compare with the
job you left with this company?