---
title: Exit interview form template, free
description: A free exit interview form template. A leaving team member's reasons, what worked, what could be better, and whether they would return, kept confidential. Publish it as one link; every response is its own signed copy.
---

# Exit interview

A leaving team member's reasons, what worked, what could be better, and whether they would return, kept confidential.

Learn from people who leave, in their own words.

## About you

- Full name (text)
- Email (email)
- Role and team (text, optional)
- Last day (text)

## Leaving

- Main reason (choice)
- More about the reason (text, optional)

## Your experience

- What you valued (text, optional)
- What could be better (text, optional)
- Support (choice)
- Recommend (choice)
- Come back (choice)
- My comments may be shared, without my name, to help improve the organisation. (tick box, optional)

## Signature

- Leaver signature (signature)
- Leaver date signed (date signed)