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Exit interview form

Questions that surface why people leave.

Exit interview form

EXIT INTERVIEW - [Employee name] ([Employee ID])
Date: [date]   Interviewer: [name]

1. What is the main reason for leaving?
2. What did you like most about working here?
3. What would have made you stay?
4. How would you describe your relationship with your manager?
5. Did you have the tools and information to do your job well?
6. How would you rate growth and learning opportunities here? (1-5)
7. How would you rate pay and benefits? (1-5)
8. Would you recommend us as a place to work? Why or why not?
9. Is there anything we should change?
10. Would you consider working with us again?

The answers are used to improve the company. They are shared only in summary, without your name, unless you agree otherwise.

Employee signature (optional): ______________   Date: ____________

    Download Word (.docx)

Replace everything in [square brackets]. This is a starting point and not legal advice. Have your adviser review it.

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