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Exit Interview Feedback Form Template

The Exit Interview Form is designed to collect feedback from departing employees regarding their experiences within the organization to enhance workplace culture and policies. It includes sections for employee information, reasons for leaving, job satisfaction ratings, feedback, an exit checklist, and future contact preferences. The form concludes with an acknowledgment of the accuracy of the provided information by the employee.

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Mayank Raina
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9 views2 pages

Exit Interview Feedback Form Template

The Exit Interview Form is designed to collect feedback from departing employees regarding their experiences within the organization to enhance workplace culture and policies. It includes sections for employee information, reasons for leaving, job satisfaction ratings, feedback, an exit checklist, and future contact preferences. The form concludes with an acknowledgment of the accuracy of the provided information by the employee.

Uploaded by

Mayank Raina
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Exit Interview Form

Purpose: This form is used during the offboarding process to gather insights from
employees about their experiences while working at the organization. The feedback
helps us continuously improve our workplace, culture, and policies.

Employee Information
Name: {employeeName}

Department: {department}

Position: {position}

Last Working Day: {lastDay}

Interviewer: {interviewer}

Reason for Leaving


{reasonForLeaving}
{#otherReason}
Other (please specify): {otherReasonDetails}
{/otherReason}

Job Satisfaction
Please rate the following aspects of your job experience:

Aspect Rating (1-5) Comments

{#jobRatings}{aspect} {rating} {comments}{/jobRatings}

Feedback and Suggestions


What did you like most about your job?
{likes}
What did you like least about your job?
{dislikes}
How do you think the company can improve the employee experience?
{improvements}

Exit Checklist
{#exitChecklist}
 {item}
{/exitChecklist}

Future Contact
Would you consider returning to the company in the future?{wouldReturn}
May we contact you for follow-up questions?
{#canBeContacted}
Preferred Contact Information: {contactInfo}
{/canBeContacted}

Acknowledgment
I, {employeeName}, acknowledge that the information provided in this exit interview is
accurate and truthful to the best of my knowledge.
Signature: _________________________
Date: {interviewDate}

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