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Free form template · Word

Employee Exit Survey

An employee exit survey is an anonymous or confidential questionnaire sent to leavers, usually as an online link, to measure why people leave in a way that can be tracked over time. It uses an employer recommendation score, driver ratings and a few open questions that HR can analyse in aggregate.

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[Company Logo][Company Name]

EMPLOYEE EXIT SURVEY

[Company Name] – Exit Survey

This survey is anonymous. We do not collect your name or employee ID. Results are reviewed only in aggregate to improve the workplace. It takes about eight minutes.

Section 1: About you

Department (select)[Sales / Operations / Technology / Finance / HR / Other]
Level (select)[Individual contributor / Team lead / Manager / Senior leader]
Tenure (select)[Under 1 year / 1–3 years / 3–5 years / Over 5 years]
Work location (select)[Office / Plant / Field / Remote]

Section 2: Recommendation

On a scale of 0 to 10, how likely are you to recommend [Company Name] as a place to work to a friend? 0 = Not at all likely, 10 = Extremely likely.

Section 3: Rate each area (1 = Strongly disagree, 5 = Strongly agree)

Statement12345
My work was meaningful and well defined
My manager supported my development
I was paid fairly for my role
I had opportunities to grow
My workload was reasonable
I felt included and respected
Leadership communicated openly

Section 4: Reasons

Rank your top three reasons for leaving (1 = most important): Compensation, Career growth, Manager, Workload, Flexibility, Relocation, Personal or family, Further studies, Company direction, Other.

Section 5: Your views

What is the one change that would most improve the employee experience?
What did we do well that we should keep?
Anything else you would like to share?

Thank you for completing the survey. We wish you every success.

What this template includes

  • Demographic filters (tenure band, department, level) without names
  • Employer recommendation score on a 0–10 scale
  • Driver ratings on a five-point scale
  • Ranking of top reasons for leaving
  • Open text questions
  • Clear anonymity statement

When to use it

  • You want trend data on attrition by department, tenure or location
  • You need honest feedback that leavers may not give face to face
  • You plan to build the survey in Google Forms, Microsoft Forms or your HRMS
  • You also want to survey employees a few weeks after they have left

How to customise this template

  1. 1Use bands for tenure and level so individuals cannot be identified in small teams
  2. 2Copy the questions into your online form tool
  3. 3Keep the drivers the same each year so trends are comparable
  4. 4Send the link on the last day and one reminder after a week

HR tips

  • Do not report results for groups smaller than five people
  • Combine survey data with interview notes for a fuller picture
  • Track the recommendation score quarter on quarter
  • Tell leavers the survey takes under ten minutes

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Frequently asked questions

What is the difference between an exit survey and an exit interview?+

An exit survey is self-completed, often anonymous and designed for trend analysis. An exit interview is a conversation that gives depth on individual cases.

When should an exit survey be sent?+

On or just before the last working day. Some companies also send a short follow-up survey a month or two after exit, when leavers may be more candid.

How do you keep an exit survey anonymous?+

Do not collect names or IDs, use broad bands for tenure and department, and report only aggregated results for groups large enough to protect identity.