Exit Survey Template

Learn from an employee's departure with this exit survey template. Ask about the work experience, reasons for leaving, and improvements that could help the team.

Exit Interview Survey

Please share your experience of working here.

Which department were you a part of?

What was your position?

When did you join us?

Your last working day is on:

Who was your direct supervisor?

What are the primary reasons for your departure?

• Not satisfied with supervisor
• Office politics
• Pay
• Need to relocate
• Wanted a career change
• Family circumstances/personal reasons
• Health reasons
• Working conditions and/or benefits
• Retirement
• Workload
• Going back to education
• Other

Now, please rate your overall experience here

1 indicates low satisfaction, while 3 indicates high.

• I was able to utilize my skills fully
• My role and expectations were clear
• I received adequate training and support
• I had sufficient resources to perform well
• My work has been engaging and stimulating
• Outstanding work is recognized and valued
• There have been opportunities for career growth
• Departmental cooperation has been effective
• Inter-departmental cooperation has been smooth
• I've achieved what I aimed for in this role
• Overall, I'm glad I worked here.

Any additional feedback about the workplace?

Next, let's discuss your relationships with coworkers

• My supervisor demonstrates strong management skills
• My supervisor welcomes and acts on my feedback
• My supervisor possesses sufficient technical expertise
• Overall, my relationship with my supervisor has been
• My coworkers have adequate technical knowledge
• Overall, my relationship with coworkers has been

Now, please evaluate your thoughts on the salary and benefits offered.

Suggestions for improvement in this area?

Would you recommend this workplace to your acquaintances?

• Yes
• No

What's the primary reason behind your feelings?

Awesome! What would you share with a friend about us?

Questions to consider for your exit survey

• What influenced your decision to leave?
• What worked well or could have been better?
• What should the organization improve for future employees?

How to use the responses

Make participation expectations and access to responses clear. Look for themes across departures and keep the survey separate from the practical offboarding checklist.