EXIT INTERVIEW FORM
Employee Name: [NAME]
Position: [TITLE]
Department: [DEPARTMENT]
Manager: [MANAGER]
Last Day Worked: [DATE]
1. Reason for Leaving
☐ New opportunity
☐ Compensation
☐ Work environment
☐ Management
☐ Relocation
☐ Personal reasons
☐ Other: [OTHER]
2. Feedback
What did you enjoy most about your job?
[RESPONSE]
What challenges did you experience?
[RESPONSE]
What could the Company improve?
[RESPONSE]
3. Would You Consider Returning?
☐ Yes
☐ No
☐ Maybe
4. Final Reminders
Return of Company property confirmed: ☐ Yes ☐ No
Ongoing confidentiality obligations reviewed: ☐ Yes ☐ No
Employee Signature (optional): ____________________
Date: [DATE]