Template

Exit Interview Survey Template

by Claire Robinson, from the Community

10+

This exit interview survey template helps HR teams capture candid feedback during employee offboarding. It covers reasons for leaving (compensation, advancement, personal, relocation, retirement, benefits, job eliminated, and more), prompts about any triggering events, and whether issues were discussed with a manager. It asks about communication on policies and tools provided to succeed, best and worst days at work, likes and areas to improve, and a likelihood-to-recommend question to gauge advocacy. Space is provided for additional comments, what the organization could have done better, and employee name and signature to complete the process. Use it to uncover turnover drivers and inform retention strategies.

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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

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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
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+
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Template
Back to Work Interview Checklist
Use this Back to Work interview form to manage return-to-work conversations after employee absence. Capture the employee’s name, reason for absence, first and last dates, total working days missed, and whether a doctor’s note was provided. Record matters discussed, confirm employees are up to date on company briefings, offer support, and check for any questions. Document interview completion date, outcomes, and signatures from employee and employer to create an auditable record.
by Kelli Crockard, from the Community
Downloads: 10+
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Template
Employee Exit Interview for Construction
Use this employee exit interview template to guide structured offboarding at construction firms. Capture employee details, recover company property across phones, tablets, computers, vehicles, and email accounts, and document account access. The exit questionnaire covers reasons for leaving, training, support, workplace improvements, and rehire eligibility. Fully customizable in SafetyCulture to match your policies and jurisdiction. Intended as a sample starting point, not a substitute for professional advice.
by William Call, from the Community
Downloads: 10+
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Exit Interview Survey Template

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Employee Exit Interview Template

Domino's Pizza Exit Interview

Back to Work Interview Checklist

Employee Exit Interview for Construction

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Employee Exit Interview Template

Domino's Pizza Exit Interview

Back to Work Interview Checklist

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