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Exit Survey Form Template

Unlock Insights to Improve Employee Retention

When employees choose to leave, understanding their reasons is crucial for improvement. This exit survey form template helps you gather essential feedback from parting employees, enabling you to pinpoint areas needing attention and enhance overall workplace satisfaction. Benefit from streamlined data collection, improved retention strategies, and a more positive company culture-all while ensuring the survey is WCAG-aligned for accessibility. Experience how easy it is to create and customize your exit survey today.

Which department or team did you work in?
Please Specify:
What was your typical work arrangement?
On-site
Hybrid
Remote
Prefer not to say
What is your last working day?
How long did you work at the company?
Less than 6 months
6-12 months
1-2 years
3-5 years
6-10 years
More than 10 years
Prefer not to say
Was your decision to leave voluntary?
Yes
No
What is the primary reason for leaving?
Please Specify:
Which other factors contributed to your decision? (Select all that apply)
Please Specify:
How likely would you have stayed if your primary reason had been addressed?
Very unlikely
Unlikely
Neutral
Likely
Very likely
Overall satisfaction with your job
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
Compensation competitiveness for your role
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
Workload manageability
Very difficult
Difficult
Neutral
Easy
Very easy
Support from your manager
Poor
Below average
Average
Good
Exceptional
Feeling included at work
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
I had opportunities for professional growth
Strongly disagree
Disagree
Neither
Agree
Strongly agree
The tools I used were effective for my work
Strongly disagree
Disagree
Neither
Agree
Strongly agree
How likely are you to recommend this company as a place to work?
0 Not at all likely
1
2
3
4
5 Extremely likely
Would you consider returning to the company in the future?
Yes
No
Contact email (optional)
What could we have done to keep you?
May we contact you to discuss your feedback?
Yes
No
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Paper art illustration depicting an exit survey form for FormCreatorAI article

When to use this form

Use this form when someone leaves your company or team. It captures honest, structured feedback you can act on. Send it after a resignation, at the end of a fixed-term contract, or alongside layoff processing. HR and People Ops spot trends, managers learn where to fix workflows, and leadership sees risks to culture and retention. For logistics, collect basics with the Employee exit form, then go deeper with the Employee exit interview form. If the change involves policy or benefits, coordinate with the Employee separation form. Offboarding a contractor or supplier? Close loops using the Vendor offboarding checklist form. The result: clearer themes, fewer gaps, and better retention next quarter.

Must Ask Exit Survey Questions

  1. What were the main reasons you decided to leave?

    Understanding push and pull factors shows where to improve pay, growth, workload, or leadership. Patterns over time help you prioritize fixes that protect retention.

  2. How would you rate your overall experience here, and why?

    A clear rating gives a simple benchmark across teams and time. The follow-up "why" surfaces context you can share in quarterly reviews.

  3. Which parts of your role, tools, or processes worked well, and which should we improve?

    This splits praise from pain, making feedback specific and actionable for owners. It turns vague comments into backlog items you can assign.

  4. Did you feel supported and treated fairly by your manager and team?

    Fairness and support link to engagement and referrals. If the exit is involuntary, pair insights with the Employee termination form to ensure a complete picture.

  5. Would you return in the future or recommend us to a friend?

    Boomerang intent and referrals reflect employer brand strength. Tracking this metric over time signals whether changes are working.

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