How to use the exit interview form template
- Enter your organization name, a form title and a short note for the top. Choose whether to add name, title and date lines.
- Edit the statements to rate, one per line, the reasons for leaving and the open questions. The lists you see are examples to change, and you can clear a list to leave that part out.
- Choose how many answer lines each open question gets, whether to ask if the person would work with you again, whether to add signature lines and how many copies to make.
- Check the preview, then use Download PDF or Print.
What is on the form
The form has five parts that you can switch on or off. The first collects the basics: name, job title, department, last day and the interview date. The second lists statements with five numbered boxes each, where the person marks how much they agree, with the meaning of 1 and 5 printed above. The third is a question about the reasons for leaving, with tick boxes in two columns. The fourth holds open questions with ruled lines for answers, and the fifth asks whether the person would consider working with you again.
With the starting settings the form has 10 numbered questions: five statements to rate, one question about reasons, three open questions and the question about working with you again. A signature line for the employee, which is optional, and one for the interviewer, with a date, finish the page. The form runs onto a second page when there is not enough room, and each question stays with its answer lines.
Making it your own
Every statement, reason and question is plain text that you can change, add to or remove, within the limits shown under each list. Keep statements short and about one thing, so a rating means one thing. Questions that ask for a fact, such as why they decided to leave, usually give more usable answers than questions that ask for an opinion about everything.
Consider who will read the answers and how they will be used, and tell the person. Many organizations make the form voluntary and keep answers confidential within a small group. This page prints a blank form and does not collect or store anything. Your own policies and the law where you work decide how an exit interview is run, and the form is not legal or HR advice.
Printing and privacy
The PDF is US Letter, with a margin that most printers handle. Print one copy to check the layout before you print many. If you tick the box to remember your entries, the form text is saved in this browser only, with an untick that deletes it, and nothing is uploaded. Related forms include the Performance Review Form Template, the New Hire Checklist Template, the Interview Scorecard Template and the One-on-One Meeting Template.
Assumptions and limits
- Up to 8 statements, 14 reasons and 6 open questions can be listed. Answer lines per question are from 1 to 5.
- The rating scale is fixed at five numbered boxes, with labels for 1 and 5 that you can edit.
- Copies are from 1 to 5. Page breaks never split a question from its answer lines.
- The wording shown is an example. Nothing is uploaded, and the form is not legal or HR advice.
Frequently asked questions
What should an exit interview form include?
Most include the basic details, a few rated statements about the job, a question about why the person is leaving, some open questions and a way to record the date. This template has all of those and lets you edit every item.
How many questions are on the form?
With the starting settings there are 10 numbered questions: five rated statements, one about reasons, three open questions and one about working with you again. You can add or remove items to change that.
Can I use my own questions?
Yes. Type your own statements, reasons and questions, one per line. The preview updates as you type, and the lists are limited so that the form stays readable.
Is the form kept anywhere?
No. It is made in your browser and nothing is uploaded. If you tick the box to remember your entries, they are saved in this browser only, and you can untick it to delete them.