# 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.