Exit Interview for Healthcare Professionals

Name

Position/Title

Department

Start Date

Last Working Day

Reason for Leaving

Please specify your primary reason(s) for leaving:

Comments on supervision and management: Comments on teamwork and colleagues: Comments on facilities and resources:

What aspects of your job did you find most rewarding? What aspects of your job would you have liked to see improved?

Were your training and development needs met? Suggestions for additional training or support:

Any other comments or suggestions: