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Employee Exit Interview Survey Form Template

Gain valuable insights from departing employees with our template

Are you struggling to understand why staff are leaving your organization? This employee exit interview survey form template helps you gather essential feedback from departing team members to improve retention. You can pinpoint areas for improvement, understand employee sentiments, enhance workplace culture, and retain top talent. Start using the live template to make exiting interviews more effective and insightful.

Full name
Department or team
Job title
Last working day
What is the primary reason you are leaving?
Please Specify:
Which other factors contributed to your decision? (Select all that apply)
Please Specify:
Have you accepted another position?
Yes
No
I had the tools and resources to do my job well.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
My workload was manageable.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I felt recognized for my contributions.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Communication from senior leadership was effective.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I felt included and respected at work.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Overall, how satisfied were you with the company as an employer?
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
How would you rate your direct manager overall?
Poor
Fair
Good
Very good
Excellent
Collaboration within my team was effective.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
Overall satisfaction with your compensation (base pay, bonuses)
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
Overall satisfaction with your benefits (health, retirement, time off)
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
Overall, how would you rate your work-life balance here?
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
How likely are you to recommend the company as a place to work to a friend?
0 Not at all likely
1
2
3
4
5 Extremely likely
How likely are you to consider returning to the company in the future?
Very unlikely
Unlikely
Neutral
Likely
Very likely
What could we have done differently to keep you?
Any additional comments or suggestions?
May we contact you after you leave if we have follow-up questions?
Yes
No
Personal email for future contact (optional)
May we share your feedback with your manager and leadership, attributed to you?
Yes
No
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Paper art illustration depicting an employee exit interview survey form in a creative and engaging design.

When to use this form

This survey fits when someone resigns, transfers, or is part of a reduction in force. Use it in the final week to capture why they are leaving, what worked, and what to fix. HR, managers, and leaders get clear themes they can act on to lower turnover and improve onboarding. It also helps standardize a staff exit survey across locations and remote teams. For smoother offboarding, pair your survey with the Employee offboarding checklist form to track tasks and handoffs. If you plan a live conversation, bring insights from this survey into the Employee exit interview form to guide the discussion. To cover compliance, include the Employment release forms form in your process.

Must Ask Employee Exit Interview Survey Questions

  1. What prompted you to start looking for a new role?

    It surfaces the trigger event so you can address issues earlier in the employee journey. Patterns here guide fixes to pay, workload, or growth paths.

  2. Which factors most influenced your decision to leave?

    A ranked or multi-select list quantifies the biggest drivers, not just anecdotes. The data helps you prioritize changes that will reduce future attrition.

  3. How would you rate support and communication from your manager and team?

    This points to leadership, teamwork, and psychological safety. Low scores flag coaching needs and gaps in day-to-day management.

  4. Did your actual work match the job description and expectations?

    Mismatch signals recruiting or onboarding gaps that push people out. Use the feedback to update role scopes, training, and goals.

  5. Would you recommend our company as a place to work? Why or why not?

    This acts like an employer brand NPS you can track over time. Compare trends with broader feedback collected using the Exit survey form.

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