Exit Interview Form

A structured form for collecting employee feedback during offboarding, including reasons for leaving, work experience, improvement suggestions, and rehire eligibility.

Employee Information

• Employee Name
• Employee ID
  Optional if your HR team uses an internal employee identifier for audit trail and record matching.
• Department
• Manager Name
• Last Working Day

Reason for Leaving

• Type of Departure
• Primary Reason for Leaving
• Please share any additional context about your decision
  Avoid including confidential medical or family details unless you want HR to know them for accommodation or support purposes.
• If Other, please specify

Work Experience

• Overall, how satisfied were you with your experience at the company?
• My role and responsibilities were clear
• My manager supported my success
• My workload was manageable
• What was the most positive part of working here?

Improvement Suggestions

• What should the company improve first?
• What should the company continue doing?
• Which area needs the most attention?

Rehire Eligibility and Follow-Up

• Would you be eligible for rehire?
• Would you consider returning to the company in the future?
• May HR contact you for follow-up questions?
  Selecting this option means HR may contact you using the information on file. Do not include personal contact details unless you want to be contacted.
• Additional comments