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Exit Interview Template

This exit interview is designed to gather feedback from departing employees to help improve our workplace. The information collected will be used to enhance our policies, practices, and culture. Your candid feedback is valuable and appreciated.

  • Employee Name: _______________________
  • Position/Title: _______________________
  • Department: _______________________
  • Manager: _______________________
  • Employment Start Date: _______________ End Date: _______________
  • Interview Conducted By: _______________________
  • Interview Date: _______________________

□ Resignation - New employment □ Resignation - Career change □ Resignation - Relocation □ Resignation - Personal/family reasons □ Resignation - Education □ Resignation - Retirement □ Layoff/Reduction in force □ Termination □ Other: _______________________

Primary reason for leaving (if resignation):

Section titled “Primary reason for leaving (if resignation):”


  1. Did your job duties match your expectations and job description? □ Yes □ No □ Somewhat Comments: ___________________________________________
  2. Were you given clear objectives and goals? □ Yes □ No □ Somewhat Comments: ___________________________________________
  3. Did you feel your skills and abilities were fully utilized? □ Yes □ No □ Somewhat Comments: ___________________________________________
  4. How would you rate your workload? □ Too heavy □ Appropriate □ Too light Comments: ___________________________________________
  1. Did you receive adequate support from your manager? □ Yes □ No □ Somewhat Comments: ___________________________________________
  2. Did you receive regular constructive feedback on your performance? □ Yes □ No □ Somewhat Comments: ___________________________________________
  3. How would you rate communication from management? □ Excellent □ Good □ Fair □ Poor Comments: ___________________________________________
  4. Were you recognized appropriately for your contributions? □ Yes □ No □ Somewhat Comments: ___________________________________________
  1. Did you have opportunities for professional growth? □ Yes □ No □ Somewhat Comments: ___________________________________________
  2. Were you satisfied with the training provided? □ Yes □ No □ Somewhat Comments: ___________________________________________
  3. Did you have a clear career path at the company? □ Yes □ No □ Somewhat Comments: ___________________________________________
  1. How competitive was your compensation? □ Very competitive □ Adequate □ Not competitive Comments: ___________________________________________
  2. How satisfied were you with the benefits package? □ Very satisfied □ Satisfied □ Dissatisfied □ Very dissatisfied Comments: ___________________________________________
  3. Which benefits were most valuable to you?
  4. Which benefits would you suggest adding or improving?
  1. Did you feel included and valued as a team member? □ Yes □ No □ Somewhat Comments: ___________________________________________
  2. How would you describe the company culture?
  3. Did the company live up to its stated values? □ Yes □ No □ Somewhat Comments: ___________________________________________
  4. How would you rate work-life balance? □ Excellent □ Good □ Fair □ Poor Comments: ___________________________________________
  1. What did you enjoy most about working here?
  2. What did you enjoy least about working here?
  3. If you could change three things about the company, what would they be? 1. 2. 3.
  4. What advice would you give to your replacement?
  5. Would you recommend this company as a good place to work? □ Yes □ No □ Maybe Why or why not? ___________________________________________
  6. Is there anything that could have been done to prevent your departure?
  7. Any other comments or suggestions?
  1. May we contact you in the future if we have additional questions? □ Yes □ No
  2. Would you consider returning to the company in the future? □ Yes □ No □ Maybe
  3. Preferred method of contact: □ Email: _______________________ □ Phone: _______________________

Thank you for participating in this exit interview. Your feedback is valuable and will help us improve our workplace. We wish you success in your future endeavors.

Interviewer Signature: __________________________ Date: __________

Note: Employee signature is optional Employee Signature: __________________________ Date: __________