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MadyHR.ai Free Resources · USA

Free Exit Interview Form

An exit interview is a chance to learn why someone is leaving and what would make your workplace better. Keep it voluntary and act on what you learn.

Download free (Word .docx) Free · No sign-up · Opens in Microsoft Word and Google Docs · Last reviewed October 2026

Important: please read

This template is a free starting point, not legal advice. MadyHR.ai is not a law firm and cannot give legal advice. Employment law is different in every state, and some cities have their own rules. Laws also change. Before you use this template, check it against the laws where your employees work, and speak to an employment attorney or your state labor department if you are unsure. You use this template at your own risk, and MadyHR.ai accepts no responsibility for how it is used. Links to official government websites are given for information only; MadyHR.ai is not affiliated with or endorsed by any government agency.

When to use this template

  • Voluntary resignations
  • Spotting patterns in staff turnover
  • Gathering feedback on managers and pay

Tips before you use it

  • Make it clear that taking part is voluntary.
  • If the employee raises harassment, discrimination, safety or pay problems, treat it as a complaint and investigate.
  • Have someone other than the direct manager run the interview if you can.

Template preview

Replace everything in [brackets] and delete the notes for employers before you use it. The Word download contains the full template.

[Company Name]

Exit Interview Form

Employee: [Employee Name]

Job title: [Job Title]

Department: [Department]

Last day: [Last Day of Employment]

Interviewer: [Interviewer Name]

Date: [Date]

This interview is voluntary. Your answers help us improve and will be kept as confidential as possible.

  1. What is the main reason you are leaving?
  2. What did you like most about working here?
  3. What could we have done better?
  4. How would you describe your relationship with your manager?
  5. Did you have the training and tools you needed?
  6. How did you feel about your pay and benefits?
  7. Did you ever experience or witness unfair treatment, harassment or safety concerns? If so, please tell us more.
  8. Would you recommend [Company Name] as a place to work? Why or why not?
  9. Would you consider returning in the future?
  10. Is there anything else you would like to share?
Question no.Notes

Note for employer (delete before use): If the answer to question 7 raises a concern, refer it to [HR Contact Name] for investigation.

Frequently asked questions

Are exit interviews required by law?

No. They are optional and should be voluntary for the employee.

What if an employee reports harassment in an exit interview?

Treat it as a complaint and investigate promptly, even though the person is leaving. Other employees may be affected.

Official sources

Each source below is an official U.S. government website. Check them for the latest rules.

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