Template

Exit Interview Template

by SHAUNA Barton, from the Community

This exit interview template helps healthcare organizations conduct structured conversations with departing employees. Cover key topics including reasons for leaving, team dynamics, development opportunities, management support, wellbeing and fairness, culture, and organizational improvements. Capture actionable insights, document signatures, and identify changes to enhance staff experience, workplace culture, and retention across hospitals and health services.

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Safety Culture Interview Checklist
Use this safety culture interview checklist to structure one-on-one conversations and audits across any workplace. Capture insights on communication, respect, resources, focus, and barriers to success, and identify actions to strengthen safety culture. Record details such as site, date, location, and personnel, then follow up on suggestions to improve engagement and performance.
by Paul Rossi, from the Community
Downloads: 10+
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Template
Employee Exit Interview Template
This exit interview template helps HR teams collect structured feedback from departing employees. It covers reasons for leaving, whether the new role is in the same profession, and ratings for key areas such as induction, training and coaching, salary and benefits, internal communication, appraisals, working conditions, wellbeing and support, and relationships with managers, senior leaders, and team members. It also captures what employees enjoyed and disliked, perceived job description accuracy, openness to discuss concerns, recommendations for the company, and any additional comments, plus signature fields. Use it to improve employee experience and strengthen offboarding insights.
by Darren Ironside, from the Community
Downloads: 0
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Template
Domino's Pizza Exit Interview
A structured exit interview template designed for Dominos Pizza to gather essential feedback from departing employees. The form covers key areas including reasons for leaving, quality of supervision assessment, and workplace improvement suggestions. It collects data on various departure factors such as scheduling issues, compensation concerns, management relationships, and career advancement opportunities. The template includes a detailed supervision survey evaluating management effectiveness, support, training quality, and policy adherence. This standardized format ensures consistent data collection across all locations while providing valuable insights for improving employee retention and workplace conditions. The form also includes sections for both employee and evaluator information, making it a complete tool for documenting the exit process.
by Travis Jones, from the Community
Downloads: 100+
Get
Template
Exit Interview - V2
Westway Exit Interview - V2
by Jaswant Dhaliwal, from the Community
Downloads: 100+
Get

Safety Culture Interview Checklist

Use this safety culture interview checklist to structure one-on-one conversations and audits across any workplace. Capture insights on communication, respect, resources, focus, and barriers to success, and identify actions to strengthen safety culture. Record details such as site, date, location, and personnel, then follow up on suggestions to improve engagement and performance.

by Paul Rossi, from the Community

10+

Get

Template

Employee Exit Interview Template

This exit interview template helps HR teams collect structured feedback from departing employees. It covers reasons for leaving, whether the new role is in the same profession, and ratings for key areas such as induction, training and coaching, salary and benefits, internal communication, appraisals, working conditions, wellbeing and support, and relationships with managers, senior leaders, and team members. It also captures what employees enjoyed and disliked, perceived job description accuracy, openness to discuss concerns, recommendations for the company, and any additional comments, plus signature fields. Use it to improve employee experience and strengthen offboarding insights.

by Darren Ironside, from the Community

Get

Template

Domino's Pizza Exit Interview

A structured exit interview template designed for Dominos Pizza to gather essential feedback from departing employees. The form covers key areas including reasons for leaving, quality of supervision assessment, and workplace improvement suggestions. It collects data on various departure factors such as scheduling issues, compensation concerns, management relationships, and career advancement opportunities. The template includes a detailed supervision survey evaluating management effectiveness, support, training quality, and policy adherence. This standardized format ensures consistent data collection across all locations while providing valuable insights for improving employee retention and workplace conditions. The form also includes sections for both employee and evaluator information, making it a complete tool for documenting the exit process.

by Travis Jones, from the Community

100+

Get

Template

Exit Interview - V2

Westway Exit Interview - V2

by Jaswant Dhaliwal, from the Community

100+

Get

Exit Interview Template

About author

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Safety Culture Interview Checklist

Employee Exit Interview Template

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Safety Culture Interview Checklist

Employee Exit Interview Template

Domino's Pizza Exit Interview

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