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Run: Exit Interview Form

Use this exit interview form to capture why an employee is leaving, what worked, what did not, and whether they are eligible for rehire. It gives HR a consis...

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Employee Information

Employee Name (required)

Employee ID

Optional if HR already has your offboarding record linked.

Department (required)

Manager Name

Optional. Used only to route feedback for internal review.

Exit Interview Date (required)

Reason for Leaving

Type of Departure (required)

Primary Reason for Leaving (required)

Please specify the primary reason (required)

Were there any other factors in your decision?

When did you first start considering leaving?

Workplace Experience

Overall, how satisfied were you with your experience at the company? (required)

My role and expectations were clear (required)

I received the support I needed from my manager (required)

My workload was manageable (required)

What did the company do well?

What were the biggest challenges in your role or work environment?

Suggestions for Improvement

Which areas should the company improve?

Please specify other improvement areas (required)

What could the company have done to retain you?

Would you recommend this company as a place to work? (required)

Rehire Eligibility and Follow-Up

Would you be eligible for rehire? (required)

Would you consider returning to the company in the future? (required)

What would need to change for you to return?

May HR contact you for follow-up questions?

By selecting this, you consent to HR using your contact details only for exit interview follow-up.

Yes No N/A

Preferred Contact Email

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Email (required)

Your name (optional)

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