Employee Exit Survey
Foster open culture with anonymous peer feedback, recognition, and improvement suggestions
Live interactive preview - try it out!
What's Included in This Template
10 Fields
Pre-configured fields with the right input types, validation, and layout for hr & recruitment.
Full Customization
Change colors, fonts, add your logo, rearrange fields, and make it match your brand perfectly.
42+ Integrations
Connect with Mailchimp, HubSpot, Zapier, n8n, Google Sheets, Slack, and more. Automate your workflow.
Form Structure
Multi-page layout keeps your form organized and easy to complete.
Ten fields, five pages, and 15 to 20 minutes of a departing employee's time. That is the whole ask. In return you get the most candid account that person will ever give of what it was like to work for you, because someone who has already resigned has very little reason to soften the truth.
The resignation you never saw coming
Picture a Tuesday morning. One of your strongest operations people hands in her notice, and when her manager asks why, the answer is a polite shrug about a new opportunity. Two weeks later she is gone, and the real reason, whatever it was, walks out the door with her. Multiply that by every departure in a year and you are running your retention strategy on guesswork.
This survey closes that gap. Sent as part of offboarding, it captures structured, comparable answers while the details are still fresh, and it does so in writing, where people tend to be more specific than they are across a table in a farewell meeting.
A walkthrough of the ten fields
The form opens with the basics: full name, work email, and a Department dropdown covering Engineering, Marketing, Sales, HR, Finance, and Operations. A Tenure question then sorts leavers into brackets from less than one year to five plus, which matters because someone quitting at month eight is telling you something different from someone leaving after a decade.
The core of the survey is the Reason for Leaving field, with seven options including New opportunity, Compensation, Work environment, and Management. Two five-star ratings follow, one for Overall Experience and one for Management Support, so you can separate how people felt about the company from how they felt about their boss.
The survey closes by pairing two optional open-text prompts, What did you enjoy most? and What could be improved?, with a required NPS-style question: Would you recommend this company as an employer? That single score becomes your cleanest trend line from one quarter to the next.
Turning departures into retention decisions
Every submission lands in your Uplup dashboard with per-question breakdowns, so you can see at a glance whether Compensation is overtaking Management as a stated reason, or whether one department's Overall Experience rating sits a full star below the rest. Export everything to CSV when leadership wants the raw numbers, or push each response into your HR system through webhooks or Zapier the moment it arrives.
The template is fully editable, too. Add a question about your hybrid policy, swap the department list for your actual org chart, or adjust the rating scales. Nothing in the survey is locked.
How the survey reaches people on their way out
Most HR teams paste the survey link into the offboarding email or the final calendar invite, which takes about ten seconds. You can also embed the form in an internal offboarding portal, drop it onto a WordPress page with the Uplup plugin's shortcode, or print a QR code into exit paperwork for staff who rarely sit at a desk.
The survey runs in traditional page-by-page mode with a progress bar and back navigation, so a leaver can pause, reconsider an answer, and finish at their own pace. Add your logo and brand colors before sending it out; a survey that looks official gets treated as official. The template is part of Uplup's Business plan, and once it is set up, every departure starts adding to the picture instead of walking away with it.
Who Is This Template For?
This template works for a wide range of goals and industries.
Voluntary resignation offboarding
Send the survey link alongside the final paperwork whenever someone resigns. The Reason for Leaving dropdown and the two open prompts capture the why while it is still fresh, before the leaver mentally checks out.
Quarterly attrition reporting
Because every leaver answers the same ten fields, responses aggregate cleanly. Pull per-question breakdowns or a CSV each quarter to show leadership how reasons for leaving, tenure brackets, and the employer NPS score are trending.
Manager effectiveness reviews
The dedicated Management Support rating, crossed with the Department field, shows whether departures cluster under specific teams. A rating that consistently trails Overall Experience points to a management problem, not a company one.
Key Features
Seven-option reason for leaving tracker
A required dropdown sorts every departure into New opportunity, Career change, Compensation, Work environment, Management, Relocation, or Other, turning scattered anecdotes into countable categories.
Paired ratings for company and manager
Two separate five-star scales, Overall Experience and Management Support, let you tell the difference between people leaving the company and people leaving their boss.
Employer NPS question
A required would-you-recommend-us-as-an-employer score gives you one clean number to track across quarters and benchmark between departments.
Per-question analytics with CSV export
See response breakdowns for every field in the dashboard, export the full dataset to CSV, or push responses to your HRIS in real time with webhooks and Zapier.
How It Works
Choose This Template
Click "Use This Template Free" to get started. You will get a full copy of this form in your account, ready to edit.
Customize It
Edit the fields, update the design, add your branding, and set up integrations. Everything is editable from the visual builder.
Share & Collect Responses
Publish your form and share it with a link, embed it on your website, or post it on social media. View responses in real time.
Frequently Asked Questions
Is the employee exit survey anonymous?
How long should we tell leavers the survey takes?
Can we change the Reason for Leaving options?
How do exit survey responses get into our HR system?
Related Templates
Explore more form templates you might like.
Exit Interview Survey
Reduce turnover with confidential departure insights on management, culture, and compensation
FeedbackEmployee Onboarding Form
Ensure smooth onboarding with task tracking, document collection, and system access setup
HR & RecruitmentEmployee Engagement Survey
Uncover workplace satisfaction trends with anonymous feedback on culture, management, and growth
FeedbackEmployee Performance Review
Drive growth with 360-degree feedback, goal tracking, and development plan creation
HR & RecruitmentReady to Use This Form Template?
Customize the fields, add your branding, set up integrations, and start collecting responses today.
