Questions
12
Pages
4
Required
7
Category
HR
Price
Free
Questions in this template
Every question is editable — change the wording, add or remove questions, and set your own required fields.
Page 1 — Your role
Your answers are shared only with HR and help us improve.
- 1
Department / team*
Text answer
- 2
How long have you worked here?*
Single choice
- Less than 6 months
- 6–12 months
- 1–3 years
- 3–5 years
- Over 5 years
- 3
Are you leaving voluntarily?*
Yes / No
Page 2 — Why you are leaving
Only shown if "Are you leaving voluntarily?" is Yes
- 4
What is the main reason you are leaving?*
Single choice
- Better pay elsewhere
- Career growth
- Manager / leadership
- Work–life balance
- Relocation
- Personal reasons
- Other
- 5
Could we have done anything to keep you?
Text answer
Page 3 — Your experience here
- 6
How supported did you feel by your manager?*
Rating
- 7
How would you rate growth opportunities here?*
Rating
- 8
How would you rate the team culture?*
Rating
- 9
What did you enjoy most about working here?
Text answer
Page 4 — Looking ahead
- 10
Would you consider coming back in the future?
Yes / No
- 11
Would you recommend us as an employer?
Yes / No
- 12
Anything else you would like to share?
Text answer
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