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Exit Interview Form Document Template

Used during employee offboarding to collect feedback about their experience.

Exit Interview Form

Purpose: This form is used during the offboarding process to gather insights from employees about their experiences while working at the organization. The feedback helps us continuously improve our workplace, culture, and policies.

Employee Information

Name: {employeeName}
Department: {department}
Position: {position}
Last Working Day: {lastDay}
Interviewer: {interviewer}

Reason for Leaving

{reasonForLeaving}

{#otherReason}

Other (please specify): {otherReasonDetails}

{/otherReason}

Job Satisfaction

Please rate the following aspects of your job experience:

Aspect Rating (1-5) Comments
{#jobRatings}{aspect}{rating}{comments}{/jobRatings}

Feedback and Suggestions

What did you like most about your job?

{likes}

What did you like least about your job?

{dislikes}

How do you think the company can improve the employee experience?

{improvements}

Exit Checklist

{#exitChecklist}

  • {item}

{/exitChecklist}

Future Contact

Would you consider returning to the company in the future? {wouldReturn}

May we contact you for follow-up questions?

{#canBeContacted}

Preferred Contact Information: {contactInfo}

{/canBeContacted}

Acknowledgment

I, {employeeName}, acknowledge that the information provided in this exit interview is accurate and truthful to the best of my knowledge.

Signature: _________________________

Date: {interviewDate}

This document template includes dynamic placeholders for automated document generation with Documentero.com. Word Template - Free download

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Use Cases

Automate Exit Interview Form Using Forms

collect exit interview responses using online form template
share exit interview form link with departing employees
capture employee feedback via mobile-friendly exit survey form
streamline exit interview form submission with pre-filled employee data
embed customized exit interview form on internal HR portal

Generate Exit Interview Form Using APIs

automatically generate exit interview form when employee offboarding is triggered in HRMS
create and email exit interview form using REST API
populate exit feedback form with employee data from internal database via API
trigger exit interview form generation from Slack offboarding command
schedule exit interview documents to be sent post-termination using API workflow

Integrations / Automations

send exit interview form automatically using Zapier when employee offboarding starts in BambooHR
generate exit feedback form after resignation ticket is created in ServiceNow
use Make to auto-fill and store exit interview PDFs in Google Drive
create exit interview form in response to Trello card movement in offboarding board
automatically archive completed exit interview forms in SharePoint using Power Automate

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