Exit Interview Form

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Exit Interview Form

An exit interview form is used by employers to gather feedback from an employee who is leaving the company. The questions asked in the document allow the departing employee to express why they are leaving, their opinions about company culture, what they enjoyed about their job, and where the company can improve.

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Last updated August 7th, 2025

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An exit interview form is used by employers to gather feedback from an employee who is leaving the company. The questions asked in the document allow the departing employee to express why they are leaving, their opinions about company culture, what they enjoyed about their job, and where the company can improve.

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Benefits of Exit Interviews

Conducting exit interviews and asking the right questions can have positive outcomes for employers.

  • Departing employees can give more candid feedback about company issues.
  • Feedback can give insight into company culture and ways to improve.
  • It can leave a good impression on exiting staff and increase the company’s reputation.
  • Can give insight into how to improve management relationships with employees.

Sample

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[EMPLOYER NAME]
EMPLOYEE EXIT INTERVIEW FORM

EMPLOYEE INFORMATION

Employee Name: [EMPLOYEE NAME] Title/Department: [JOB TITLE/DEPARTMENT]
Start Date With Company: [MM/DD/YYYY] Separation Date: [MM/DD/YYYY]

EXIT INTERVIEW QUESTIONNAIRE

Please describe why you are leaving your position.
[DESCRIBE WHY EMPLOYEE IS LEAVING]

Was your job what you expected it to be? ☐ Yes ☐ No
If not, please explain: [EXPLAIN JOB EXPECTATIONS]

Do you feel you were placed in a position compatible with your skills? ☐ Yes ☐ No
If not, please explain: [EXPLAIN SKILL COMPATIBILITY]

Do you feel that there was a possibility for advancement? ☐ Yes ☐ No
If not, please explain: [EXPLAIN PREVENTION OF POSSIBILITY]

What were some challenges you faced in your position?
[DESCRIBE CHALLENGES]

What did you like about your position?
[DESCRIBE POSITIVE JOB ASPECTS]

What did you dislike about your position?
[DESCRIBE JOB DISLIKES]

Is there anything the company could have done differently to change your decision?
[DESCRIBE WHAT COMPANY COULD HAVE DONE]

Additional Comments:
[ADDITIONAL COMMENTS]

EMPLOYEE SIGNATURE

Employee Signature:                                                           Date:
Print Name: [EMPLOYEE NAME]