This employee exit survey gives HR teams and people managers a structured way to capture honest feedback from departing staff on paper. It works for offboarding meetings, final-day handovers, and remote sites where a printed form is easier to hand out than a login link. The template runs 20 questions across about two pages, mixing rating scales with a few open comment boxes.
What this survey measures
The survey opens by asking leavers to describe their key reasons for leaving in their own words. Rating questions then cover how well skills and resources were used, room for professional growth, pay fairness, and how each person was treated, rewarded, and listened to by their supervisor. Further sections look at teamwork, weekly stress, work-life balance, and the safety, comfort, and overall tone of the workplace. It closes with an open box for suggested improvements and a final question on overall sentiment about the company.
How to use it on paper
Print a copy for each departing employee and include it with offboarding paperwork or hand it out during the exit interview. Ask the person to use a blue or black pen, mark one option per rating question, and write freely in the comment boxes. Collect finished forms in a sealed folder, then scan or photograph them and upload to PaperSurvey, which reads the marked answers and handwriting automatically and turns them into results you can filter and export.
Customize this template
Most teams add their logo, adjust the scale wording, and add or remove questions to match their offboarding process. You can rename departments, add fields for tenure or role, or trim the supervisor section for smaller teams. The layout reflows automatically whenever you change anything, so the paper form always stays clean and scannable.
Preview the PDF above, or use this template to start collecting responses today.