Exit Interview Questionnaire

Purpose

To gather candid feedback from a departing employee about supervision, the job, the work environment, and benefits — so the organization can see what is working and what to improve. Participation is voluntary; the employee may decline to answer any question.

How to use

Conduct the interview at or near the employee's last day. Explain that responses are used to evaluate personnel practices and procedures — not to assign individual blame — and are kept confidential, with trends reviewed in the aggregate. Ask the employee to rate each item below:

1 = Excellent · 2 = Good · 3 = Poor · 4 = No opinion

A. Supervision

• Provided job orientation
• Communicated performance standards
• Defined and followed policies and practices
• Demonstrated fair and equitable treatment
• Provided a fair performance review
• Developed cooperation within the department
• Resolved complaints and work problems
• Recognized your achievements

B. Your job and department

• Communication within the department
• Relationships among employees
• Departmental policies and practices
• Cooperation with other departments
• Physical working conditions
• Salary
• Opportunity for advancement
• Job security
• Sense of achievement
• The nature of the work itself
• Responsibility delegated to you
• Recognition

C. Benefits and related programs

• Paid holidays
• Paid vacation
• Retirement / pension plan
• 401(k) or savings plan
• Tuition assistance
• Life insurance
• Medical plans
• Disability plans
• Job postings
• Work schedule
• Other voluntary benefits

D. Open comments

• What did you like best about working here?
• What would you change?
• Your main reason for leaving?
• Would you recommend this organization as a place to work? Would you consider returning?

Notes (best practice)

Keep responses voluntary and confidential, and use aggregated results to drive improvement. If an exit interview surfaces allegations of harassment, discrimination, retaliation, safety hazards, or legal violations, route them to Human Resources for follow-up — those require action beyond the questionnaire.