Confidential Employee Exit Interview Form

Name Department Position/Title Last Working Day Please describe your reason(s) for leaving How satisfied were you with your job? Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied What did you like most about your role or the company? What did you like least about your role or the company? How would you rate your relationship with management? Excellent Good Average Poor Very Poor Suggestions for improvement (work environment, management, culture) Any additional comments or feedback?