Employee Exit Interview Checklist Form

An employee exit interview checklist (also known as a termination checklist or an outplacement checklist) is a tool that aids in the efficient and painless execution of the exit interview process. It's best not to put it off because it could lead to confusion and poor decisions.

Time to complete

2 minutes


All employees who resign should fill out the Employee Exit Interview Checklist form.


Questions for Employee Exit Interview Checklist Form



The answer should be a text input.

Employment Date

The answer should be a date input.


The answer should be a text input.


The answer should be a text input.

What prompted you to seek alternative employment?

The answer should be a multiple choice:
  1. Type of Work
  2. Quality of Supervision
  3. Compensation
  4. Work Conditions
  5. Lack of Recognition
  6. Family Circumstances
  7. Company Culture
  8. Career Advancement Opportunity
  9. Business/Product Direction
  10. None of them

Before making your decision to leave, did you investigate other options that would enable you to stay? If "yes", describe or leave "no"

The answer should be a text input.

What did you think of your supervision in regard to the following?

The answer should be a single (or) multiple choice by row and column:
Demonstrated fair and equal treatment
Provided recognition on the job
Developed cooperation and teamwork
Encouraged/listened to suggestions
Resolved complaints and problems
Followed policies and practices
Strongly disagree
Neither agree nor disagree
Strongly agree

How would you rate the following in relation to your job?

The answer should be a single (or) multiple choice by row and column:
Cooperation within your department
Communications in your department
Cooperation with other departments
Morale in your department
Training you received
Extremely unlikely
Extremely likely

Rate your Job Satisfaction

The answer should be a rating.

Was your workload usually

The answer should be a single choice:
  1. Too great
  2. Varied, but all right
  3. About right
  4. Too light

Would you recommend this company to a friend as a place to work?

The answer should be a single choice:
  1. Yes, without reservations
  2. Yes, with reservations

Similar Ideas

  • Employee Departure Checklist
  • Employee Exit Interview Form
  • Employee Termination Checklist

Here are some FAQs and additional information
Employee Exit Interview Checklist Form

What is employee exit checklist?

An employee exit checklist is a list of items that need to be completed before an employee leaves a company. This can include tasks such as returning company property, completing any final paperwork, and ensuring that all loose ends are tied up.

How do you make an exit checklist?

There is no one-size-fits-all answer to this question, as the contents of an exit checklist will vary depending on the company and the position that is being left. However, some common items that could be included on an exit checklist are returning company property, such as a laptop or company car; completing any final paperwork, such as a timesheet or expense report; and ensuring that all loose ends are tied up, such as handing over key projects or client contact information.

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