Government Employee Exit Interview Form

Employee Information

Name Department Position/Title Start Date Last Working Day

Reason for Leaving

Please select the primary reason Career advancement Personal reasons Relocation Retirement Job not a good fit Supervision/Management Work environment Compensation/Benefits Other Please provide more details

Feedback

How would you describe your overall experience with our organization? What did you like most about your job or the organization? What areas do you feel could be improved? Was training and support sufficient for your role? Comments about supervision/management

Final Comments

Any additional comments or suggestions?