Exit Interview Questionnaire

CONFIDENTIAL - Your responses will be used to improve the workplace and will be kept confidential.

Employee Information

Employee Name
Department
Job Title
Last Day of Employment
Length of Employment
Interview Date

Reason for Leaving

1. What is your primary reason for leaving? (Select all that apply)
New job opportunity
Career advancement
Higher salary/benefits
Relocation
Work-life balance
Management issues
Personal reasons
Retirement
Further education
Other
2. Please provide more details about your reason for leaving:

Job & Work Environment

Rating: 1 = Very Dissatisfied | 2 = Dissatisfied | 3 = Neutral | 4 = Satisfied | 5 = Very Satisfied

Your overall job satisfaction
1
2
3
4
5
Work-life balance
1
2
3
4
5
Physical working conditions
1
2
3
4
5
Compensation and benefits
1
2
3
4
5
Training and development opportunities
1
2
3
4
5
Career advancement opportunities
1
2
3
4
5

Management & Team

Your relationship with your direct manager
1
2
3
4
5
Communication from management
1
2
3
4
5
Team collaboration
1
2
3
4
5

Feedback & Suggestions

3. What did you enjoy most about working here?
4. What did you enjoy least about working here?
5. What could the company do to improve as a workplace?
6. Would you recommend this company as a good place to work?
Definitely yes
Probably yes
Not sure
Probably not
Definitely not
7. Would you consider returning to this company in the future?
Yes
Maybe
No
8. Any additional comments or feedback?

Acknowledgement

I confirm that I have provided honest feedback in this questionnaire.

Signature:

Date:

Template provided by Grove HR | www.grovehr.com

This template is for guidance only. Please customise for your organisation.