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Run: Stay Interview Questions Form

A stay interview questions form for HR to capture what keeps an employee engaged, what could drive turnover, and what follow-up actions to take. Use it to tu...

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Interview Context

Employee name (required)

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 (required)

Select the date the stay interview was completed.

Interviewer name (required)

Name of the manager, HR partner, or leader conducting the interview.

What Keeps You Here

What keeps you working here? (required)

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? (required)

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? (required)

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.

Get your results

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Email (required)

Your name (optional)

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