Employee Exit Interview Form
Employee Name
Department
Job Title
Manager/Supervisor
Date of Interview
Reasons for Leaving
Please indicate your reason(s) for leaving
Have you secured new employment?
Yes
No
Job Experience
What did you like most about your job?
What did you like least about your job?
Suggestions for improvement
Work Environment
How would you describe the work environment?
How would you describe the teamwork and communication?
Management
Comments on supervision/management
Final Comments
Any additional comments?