FORM TEMPLATE · People and HR
Exit interview
A leaving team member's reasons, what worked, what could be better, and whether they would return, kept confidential.
Thank you for your time with us. Your answers help us improve. They are read by the people responsible for team experience and are not added to any reference.
About you
- Full nametext
- Emailemail
- Role and teamtext, optional
- Last daytext
Leaving
- Main reasonchoiceA new opportunity · Pay or benefits · Work-life balance · Management · Career growth · Relocation · Personal reasons · Other
- More about the reasontext, optionalOptional. Share only what you are comfortable with.
Your experience
- What you valuedtext, optional
- What could be bettertext, optionalSpecific examples help us change things.
- SupportchoiceVery supported · Supported · Neutral · Unsupported · Very unsupportedOver your time here, not only recently.
- RecommendchoiceYes · Maybe · No
- Come backchoiceYes · Maybe · No
- My comments may be shared, without my name, to help improve the organisation.tick box, optional
Signature
- Leaver signaturesignature
- Leaver date signeddate signed
What people see
The form, the way the person with the link fills it in.
Exit interview
Thank you for your time with us. Your answers help us improve. They are read by the people responsible for team experience and are not added to any reference.
About you
Leaving
Your experience
Signature
14 fields for the person filling it in.
What people agree to
The wording beside each box.
- My comments may be shared, without my name, to help improve the organisation.
When you publish
It starts with these settings.
- People sign without an email check.
- The person's signature completes each response.
- No limit on responses.
- One response per visit.
- You get an email for every signed response.
- The person gets an email with their signed copy.
Change any of them on the Publish step before the link goes live.
Questions
Quick answers.
Who fills it in?
Anyone with the link. They are the leaver in this form, type their own name and email, fill in each box and sign.
Can I change the questions?
Yes. In your workspace it is your own copy: add, remove or reword any field, then publish it. The original is never changed.
Can people attach files?
Where the form has a file box, people may attach a PDF or a picture. It is stored exactly as they upload it and never converted.
Is this legal advice?
No. It is a starting point in plain words. Change what does not fit before you publish it.
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