Free form template · Word

Exit Interview Questionnaire

An exit interview questionnaire is a bank of open-ended questions HR can draw on in an exit conversation. It is grouped by theme so the interviewer can go deeper where the leaver has most to say, and it is designed to uncover root causes of attrition rather than collect scores.

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[Company Logo][Company Name]

EXIT INTERVIEW QUESTIONNAIRE

Employee Name:: [Employee Name]
Department:: [Department]
Date:: [Date]

Thank you for taking the time to share your experience at [Company Name]. Your honest answers will help us improve. Responses are confidential and are reviewed only by HR.

A. Your decision

What first made you start looking for another opportunity?
What does your new role offer that you could not find here?
Was there a specific event that confirmed your decision?
What could we have done to keep you?

B. Your role

How closely did your actual job match the description you were hired for?
Did you have the tools, information and resources to do your job well?
How manageable was your workload over the last six months?

C. Your manager and leadership

How would you describe the support and feedback you received from your manager?
Did you feel your contributions were recognised?
How well did leadership communicate company goals and changes?

D. Pay, growth and learning

How fair did you find your compensation compared to your responsibilities?
Which benefits did you value most, and which were missing?
Did you see a clear path for growth here?
What training or learning would have helped you?

E. Culture and workplace

How would you describe the culture of your team in three words?
Did you feel safe raising concerns or disagreeing?
Did you face or observe any behaviour that made you uncomfortable? You may also raise this with the Internal Committee.
How inclusive did you find the workplace?

F. Closing

What should we change for the next person in your role?
What should we never change?
Would you recommend us as an employer to a friend? Why or why not?
Would you consider rejoining in the future?

Interviewer Notes
Key Themes Identified

Interviewer
[HR Name]
Date: [Date]

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What this template includes

Opening questions to build comfort
Role and work questions
Manager and leadership questions
Pay, benefits and recognition questions
Growth and learning questions
Culture, safety and inclusion questions
Closing questions on improvement and return

When to use it

You are preparing for an exit interview and need good questions
Managers are being trained to run stay or exit conversations
You want to probe a particular theme, such as manager quality, for a department
A written questionnaire is sent in advance so the leaver can reflect

How to customise this template

1Pick 10 to 15 questions for a 30-minute interview
2Add department-specific questions, such as on shift rosters in operations
3Reword questions into the language the employee is most comfortable with
4Leave answer space if you send it in advance

HR tips

Ask open questions and follow up with tell me more
Avoid leading questions such as was it your manager
Ask what would have made them stay, not only why they leave
End positively by thanking them for honest feedback

For HR & hiring managers

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Frequently asked questions

What are the best questions to ask in an exit interview?+

Useful ones include: what prompted you to look for a new role, what could we have done to keep you, how would you describe your manager's support and what should we change for the next person in your role.

How many questions should an exit interview have?+

Around 10 to 15 well-chosen open questions are enough for a 30 to 45 minute conversation.

Should the questionnaire be anonymous?+

An interview cannot be fully anonymous, but answers should be kept confidential and reported only in aggregate. Use an anonymous survey if you want unattributed feedback.

All 50 resignation, exit & full-and-final settlement →

[Company Logo][Company Name]
EXIT INTERVIEW FORM
Interview Date:
[Date]
Mode:
[In person / Video / Phone]
Interviewer:
[HR Name]
Employee Details
Employee Name
Employee ID
Designation
Department
Reporting Manager
Date of Joining
Last Working Day
Total Service (years / months)
Reasons for Leaving
Primary reason
Secondary reasons
When did you first think of leaving?
Was there anything that could have changed your decision?
Ratings (1 = Very poor, 5 = Excellent)
Form · Word
Employee Exit Interview Form
Download .docx
[Company Logo][Company Name]
EXIT FEEDBACK FORM
Department:
[Department]
Date:
[Date]
Dear colleague, thank you for your time with [Company Name]. Please spend ten minutes on this form. Your feedback is confidential and will not affect your settlement or relieving documents.
Name (optional)
Designation
Length of Service
Shift / Location
1. Main reasons for leaving (tick up to three)
- Salary
- Better job elsewhere
- Supervisor / manager
- Working hours or shifts
- Travel distance
- Workload
- Lack of growth
- Family or personal reasons
- Health
- Other: ____________
2. Please tick one option for each statement
Form · Word
Exit Interview Feedback Form
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Primary reason
Secondary reasons
When did you first think of leaving?
Was there anything that could have changed your decision?

Name (optional)
Designation
Length of Service
Shift / Location

[Company Logo][Company Name]

EXIT CLEARANCE FORM

Form No.:: [Reference Number]
Date Issued:: [Date]

Part A: Employee Details

Employee Name
Employee ID
Designation
Department
Work Location
Date of Joining
Date of Resignation / Separation
Last Working Day
Type of Separation (Resignation / Retirement / Termination / Contract End)

Part B: Departmental Clearance

Department	Items to Check	Dues / Recovery (₹)	Cleared By (Name)
Reporting Manager	Handover note, files, pending work	[Amount]	[Reporting Manager]
IT	Laptop, accessories, email and system access, software licences	[Amount]	[Name]
Admin	ID card, access card, locker key, parking sticker, mobile / SIM	[Amount]	[Name]
Finance / Accounts	Salary advance, loan, travel advance, expense claims, corporate card	[Amount]	[Name]
Stores / Library	Tools, uniforms, books, safety equipment	[Amount]	[Name]
HR	Exit interview, leave balance, insurance, PF and gratuity forms	[Amount]	[HR Name]

Part C: HR Final Clearance

Form · Word

Exit Clearance Form

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[Company Logo][Company Name]
EMPLOYEE EXIT CHECKLIST
Employee Name:
[Employee Name]
Last Working Day:
[Last Working Day]
This checklist helps you complete your exit from [Company Name] smoothly. Tick each item as you finish it and contact [HR Name] at [HR Email] for help.
1. Right after resigning
- Submit signed resignation letter or HRMS request
- Receive acknowledgement or acceptance with confirmed last working day
- Agree the handover plan and successor with your manager
- Request notice waiver in writing, if needed
2. During the notice period
- Prepare a handover note covering tasks, contacts, passwords process and files
- Hold walkthrough sessions with your successor
- Submit pending travel and expense claims
- Clear any salary advance or loan as agreed with Finance
- Submit investment proofs for tax calculation in final salary
- Update your personal email, address and nominee details with HR
Checklist · Word
Employee Exit Checklist
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[Company Logo][Company Name]
HR EXIT CHECKLIST
Employee Name / ID:
[Employee Name] / [Employee ID]
Last Working Day:
[Last Working Day]
A. On receipt of resignation (owner: HR Executive)
- Log resignation in HRMS with date received
- Send acknowledgement within one working day
- Inform reporting manager and department head
- Confirm notice period and compute last working day
- Issue acceptance letter after approval
- Raise backfill requisition if approved
B. During notice (owner: HR Business Partner)
- Share notice period guidelines and employee exit checklist
- Issue exit clearance form to employee
- Notify IT and Admin of LWD and access cut-off
- Schedule exit interview
- Collect leave balance and attendance for the final month
- Process notice waiver or extension requests
C. On last working day (owner: HR Executive)
Checklist · Word
HR Exit Checklist
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[Company Logo][Company Name]
MANAGER EXIT CHECKLIST
Leaving Employee:
[Employee Name]
Manager:
[Reporting Manager]
Last Working Day:
[Last Working Day]
Within 48 hours of resignation
- Meet the employee privately to understand the decision
- Inform HR and agree whether a retention discussion is appropriate
- Agree the last working day in line with notice terms
- Identify business risks from this exit (clients, deadlines, knowledge)
Handover planning
- Nominate successor or interim owner for each responsibility
- Ask the employee for a written handover document by [Date]
- Schedule knowledge-transfer sessions and attend at least one
- Collect process notes, templates and SOPs owned by the employee
- Confirm location of all files on company drives
Stakeholders and team
Checklist · Word
Manager Exit Checklist
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[Company Logo][Company Name]

IT EXIT CHECKLIST

Employee Name / ID:: [Employee Name] / [Employee ID]
Last Working Day:: [Last Working Day]
Ticket No.:: [Reference Number]

1. Hardware recovery

Asset	Serial / Asset Tag	Condition	Recovery (₹)
Laptop and charger	[Serial No.]	[Good / Damaged]	[Amount]
Mobile phone / SIM	[Serial No.]		[Amount]
Data card / dongle / headset	[Serial No.]		[Amount]
Security token / smart card	[Serial No.]		[Amount]

2. Data and email

Back up work files and transfer to [Reporting Manager]
Set auto-reply naming the new contact
Delegate or forward mailbox to manager for [number] days
Transfer ownership of cloud drive files and shared folders
Archive mailbox as per retention policy

3. Access revocation

Checklist · Word

IT Exit Checklist

Download .docx

[Company Logo][Company Name]

FINANCE EXIT CLEARANCE

Ref. No.:: [Reference Number]
Date:: [Date]

Employee Details

Employee Name
Employee ID
Department
Last Working Day
PAN
Bank Account (last 4 digits)

Amounts Recoverable from Employee

Item	Reference	Outstanding (₹)
Salary advance	[Reference]	[Amount]
Personal / vehicle loan	[Reference]	[Amount]
Travel advance not settled	[Reference]	[Amount]
Cash imprest / petty cash	[Reference]	[Amount]
Corporate card unsettled charges	[Card last 4 digits]	[Amount]
Total recoverable		[Amount]

Amounts Payable to Employee

Form · Word

Finance Exit Clearance

Download .docx

Exit Interview Questionnaire

Preview of the form

A. Your decision

B. Your role

C. Your manager and leadership

D. Pay, growth and learning

E. Culture and workplace

F. Closing

What this template includes

When to use it

How to customise this template

HR tips

Hire top talent from BetterJobs

Frequently asked questions

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