Stay Interview Questions Form

A structured HR form for conducting stay interviews to understand what motivates an employee to stay, what could cause them to leave, and what support or changes would improve retention.

Interview Context

• Employee name
  Enter the employee's name for follow-up and recordkeeping.
• Job title
  Optional. Use only if needed to understand role-specific feedback.
• Department
  Optional. Helps route feedback to the right leader or HR partner.
• Interview date
  Select the date the stay interview was completed.
• Interviewer name
  Name of the manager, HR partner, or leader conducting the interview.

What Keeps You Here

• What keeps you working here?
  Describe the main reasons you choose to stay with the organization.
• What do you value most about your role or team?
  Examples may include the work itself, team relationships, flexibility, learning, or mission.
• What recent work or accomplishment are you most proud of?
  This helps identify meaningful work and sources of engagement.
• Which of the following matter most to you right now?
  Select all that apply. Use this to identify the strongest retention factors.

What Might Cause You to Leave

• What might cause you to consider leaving?
  Please share any concerns, frustrations, or conditions that could make you look elsewhere.
• What barriers or obstacles are making your work harder than it should be?
  Examples may include unclear priorities, workload, tools, processes, or communication gaps.
• How likely are you to look for another job in the next 6 months?
  Use this to gauge retention risk without collecting unnecessary sensitive details.

Growth, Support, and Accommodation

• What growth, learning, or career development would help you stay?
  Include training, stretch assignments, mentoring, promotion clarity, or new responsibilities.
• What support from your manager or the organization would help most right now?
  Focus on practical support that would improve your day-to-day experience.
• Do you need a reasonable accommodation or workplace adjustment?
  ADA reasonable-accommodation prompt. Select Yes only if you want to discuss a workplace adjustment.
• If yes, describe the accommodation or adjustment needed
  Provide only the minimum necessary detail needed to route the request.

Follow-Up and Action Items

• Top actions to take after this interview
  Summarize the most important follow-up actions, owners, and timelines.
• Follow-up owner
  Who will own the follow-up actions?
• Follow-up date
  Optional date for the next check-in.