Exit Interview Form
Ask a departing employee what actually drove the decision, while they still remember the detail and have nothing to lose by saying it.
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Opens in the builder. Nothing is saved until you edit it.
- Fields
- 10 questions
- Theme
- Slate, switchable in the preview
- Updated
- 11 August 2026
Categories
- HR
- HR Forms
- Survey Forms
- Feedback Forms
Ideal for
- HR teams
- People partners
- Founders
- Office managers
Best used in
- Offboarding
- Retention research
- Annual people reporting
About this template
An exit interview held in a meeting room gets you the polite version. Written answers, submitted at home after the last day is already fixed, get you the real one. This form asks for the main reason first as a single choice, then opens the floor, because people will pick a reason honestly long before they will write three paragraphs about it.
The likelihood question is the number to track. One departure tells you very little, but the same score falling across a year of leavers tells you something is wrong that nobody is saying out loud in reviews. Pair it with the two open questions and you get a reason plus a fix, which is the only combination that survives being taken to a leadership meeting.
Route submissions to a shared HR address rather than to the leaving person's manager, since manager relationship is one of the options and nobody will pick it otherwise. Drop the rehire question if you do not run an alumni pipeline.
Templates are a starting point, not legal or professional advice. Where a form carries consent, medical, or contractual wording, have somebody qualified review it against the rules that apply to you before you publish.
Fields in this template
- Your name*Short text
- Job title*Short text
- Who did you report to?Short text
- Last working day*Date
- Main reason for leaving*Dropdown
- Tell us more about thatLong text
- How likely are you to recommend us as a place to work?Opinion scale
- What did we get right?Long text
- What should we fix first?Long text
- Would you consider working here again?Single choice
Every field can be renamed, reordered, made optional, or removed once the template is open in the builder.
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