Exit Interview Form - Free Printable Questions Template

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Employee Name		Job Title
Department		Manager
Start Date		Last Day
Interviewer		Interview Date

Main Reason	Better pay / benefitsCareer growthRelocationWork-life balanceManagementJob dutiesRetirementPersonal

What did you like most about working here?
What could we have done to keep you?
What would you change about your job or team?
Would you recommend us as an employer?	YesMaybeNo
Would you consider returning?	YesMaybeNo
Other comments

How to fill out an Exit Interview Form

Exit Interview Form template preview — Free Exit Interview Form template

An exit interview form collects honest feedback from an employee who is leaving. It records the main reason for leaving, rates key parts of the job and asks open questions so the employer can spot problems and improve retention.

How to fill it out

Fill in the employee’s name, job title, department, manager, dates and interviewer.
Check the main reason for leaving.
Rate each area from Poor to Excellent and add comments.
Answer the open questions in your own words.
Sign if you wish; the form is kept by HR.

Tips

Have someone other than the direct manager conduct the interview so answers are more candid.
Make participation voluntary and explain how answers are used.
Look for patterns across several exit interviews, not single answers.
Hold the interview in the last week, not on the final hour.

Exit Interview Form example

Employee Name: Jane Smith
Job Title: Customer Service Supervisor
Department: Customer Service
Manager: Michael Brown
Start Date: 03/01/2022
Last Day: 10/30/2026
Interviewer: Maria Lopez

Reason for Leaving

Main Reason: Career growth

Your Experience

Busy but manageable
Pay below market
Supportive manager
Great team
Few senior roles

Questions

What did you like most about working here?: The people on my team and the chance to lead the order-tracking project.
What could we have done to keep you?: A clearer path to a manager role and a pay review.
What would you change about your job or team?: Add a second supervisor for the evening shift.
Would you recommend us as an employer?: Yes
Would you consider returning?: Maybe
Other comments: Thank you for a great four years.

All names, companies and contact details are fictional. Click “Fill sample” above to put this example into the empty fields; click again to remove the parts you did not change.

FAQ

Is an exit interview mandatory?

Usually not. Most employers make it voluntary.

Who should conduct the exit interview?

Typically HR or a neutral manager, not the employee’s direct supervisor.

What are good exit interview questions?

Why the employee is leaving, what they liked, what would have kept them, and whether they would recommend the company.

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↑ Fill out the Exit Interview Form