MAKE THE DOCUMENT WORK FOR YOUR SITUATION
About this exit interview & survey
Gather voluntary feedback on role expectations, management, workload, development, culture, and reasons for leaving. This editable template brings the key details into one document: employment details. Complete it online, compare the live preview with your records, and download a blank or completed PDF or editable Word document.
What the template includes
The online builder and downloaded documents use the same fields. A selected state can add relevant research prompts. Complete only applicable items; add explanations for exceptions rather than assuming a blank entry resolves them.
Document details4 inputs +
Set the date, jurisdiction, and your internal reference.
- Document date *
- US state *
- County
- Document reference
Employment details14 inputs +
Use accurate facts and apply your organization’s policies consistently.
- Employee name (optional)
- Role / department
- Tenure
- Last working day
- Interviewer
- Reasons for leaving
- Role and expectations feedback
- Management feedback
- Workload and resources
- Learning and growth
- Culture and inclusion
- Recommended improvements
- Handover issues
- How responses will be used
Additional details & signing7 inputs +
Add attachments, exceptions, and the names of authorized signers.
- Attachments / supporting records
- Exceptions / additional terms
- First signer printed name
- First signer title
- Second signer printed name
- Second signer title
- Signing date
How to complete it
1. Document details
Set the date, jurisdiction, and your internal reference. Review document date, us state, county, document reference against your source records.
2. Employment details
Use accurate facts and apply your organization’s policies consistently. Review employee name (optional), role / department, tenure, last working day and the remaining details against your source records.
3. Additional details & signing
Add attachments, exceptions, and the names of authorized signers. Review attachments / supporting records, exceptions / additional terms, first signer printed name, first signer title and the remaining details against your source records.
Practical tips
- Be specific. A clear description is easier to verify than a broad label.
- Download Word if you need to add an attachment or adjust the layout.
- Keep the completed document and supporting records together.
Before signing or submitting
Employment, wage, leave, privacy, and separation requirements depend on location and circumstances. Verify the applicable rules and avoid including unnecessary medical or sensitive information.