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ISO 9001:2015 FM-USTP-GCS-16
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Document Code No.
FM-USTP-GCS-16
Rev. No. Effective Date Page No.
00 03.16.26 1 of 2
University of Science and Technology of Southern Philippines
GUIDANCE AND COUNSELING SERVICES
EXIT INTERVIEW FORM

The Guidance and Counseling Services (GCS) observes STRICT CONFIDENTIALITY on the personal information shared in this form according to the ethical principles of confidentiality and in compliance with the Data Privacy Act. However, please take note that the information will be disclosed on the following circumstances:

1. Threat on the life of the client (e.g. attempt to commit suicide, victim of abuse)
2. The client can cause danger to the lives and health of other people.

Moreover, information may also be given to agencies (e.g. DSWD, Police, Women and Children Protection Unit, Rehabilitation Unit Hospitals and other health providers) that can facilitate or address client's need and situation.

Conforme:
Seb
Student Signature
I.  Personal Information
Last Name: First Name: Seb Middle Name:
Course/Major: BSIT Gender: Mobile Number: Date of Graduation: 11/04/2026
Permanent Address: E-mail Address:
II.  Exit Interview Questions
Instructions: Please answer the following questions honestly and place a check mark (/) on the space provided.
1.  How would you describe your student life?
a. challenging b. amazing c. roller coaster ride d. struggling e. others:
2.  What do you like most about the university?
a. faculty/instructors
b. quality of teaching
c. facilities
d. building
e. staff/employees
f. student services (please check below)
guidance unit
admission
scholarship
student affairs
dental
cashier
assessment
Registrar
medical
library
e-library
sports
g. others :
3.  What do you like least about the university?
a. flood
b. security guard
c. facilities (please specify: )
d. faculty/instructors
e. cafeteria (Please specify: )
f. school uniform
g. comfort rooms
h. dissemination of information
i. implementation of policies/rules and regulations
j. process flow (please check below)
enrollment clearance request of document
adding & dropping of subjects
others :
k. student services (please check below)
guidance unit
admission
scholarship
student affairs
dental
cashier
assessment
Registrar
medical
library
e-library
sports
l. others:
4.  Are you satisfied with the learning that you get from the university?
a. very satisfied b. satisfied c. somewhat satisfied d. not satisfied
5.  Which of the following student services' staff do you consider prompt & accommodating in assisting you during your visit?
Guidance Unit
Admission
Scholarship
Student affairs
Sports
Dental
Cashier
Assessment
Registrar
Medical
Library
E-library
Others:
6.  Which of the following student activities do you consider the process flow smooth, convenient, fast and hassle free?
enrollment clearance adding & dropping of subjects request of official document
completion of grades others :
7.  In what areas do you think the university need to improve?
a. facilities
b. classroom
c. building
d. flood control
e. field trips
f. faculty/instructors  (please specify: )
g. laboratory  (please specify: )
h. staff/employees  (please specify: )
i. process flow  (please specify: )
j. others:  )
8.  What are your plans after graduation?
a. attend review classes for board exam
b. self-review for board exam
c. start job seeking
d. have rest
e. go on vacation
f. work abroad
g. start working (job waiting)
h. online job
i. self-employment/business
j. proceed graduate school
k. study other field
l. others:
Document Code No.
FM-USTP-GCS-16
Rev. No. Effective Date Page No.
00 03.16.26 2 of 2
University of Science and Technology of Southern Philippines
GUIDANCE AND COUNSELING SERVICES
9.  Name at least three (3) persons from this university or outside the university who have made a great impact in your life.
1.
2.
3.
10. What is your most memorable experience during your stay in the university?
11. Which of the following Institutional Graduate Attributes do you possess, and you think can help you thrive in your future work?
Thinking and Reasoning
Communication
Diversity
Collaboration
Sustainability
Specialized Discipline
Interviewed by: Milwaukee D Arrubio
Date: November 05, 2026