Exit Interview Form
Docs + Word7 pages
Free
- Type
- Document
- Price
- Free
- Pages
- 7 · US Letter
- Style
- Friendly
- Difficulty
- Beginner
- Updated
- November 6, 2026
Every page (7)
Overview
This leaver interview template is a ready-made Google Docs guide for clinics and hospitals that want to learn why clinical staff leave. It covers the reasons, workload, staffing levels, support and suggestions across seven designed pages, with a confidentiality statement that protects every leaver.
Each page carries sample results for Wrenfield Services, a fictional healthcare provider, drawn from 14 exit interviews. Replace the reasons, staff contacts and actions with your own, and keep the reporting rule that no leaver is named. The suggestions page is the one leaders act on, so keep its owners and dates current.
Useful for
- Leaver interviews for nurses and healthcare assistants on a ward
- A six-monthly review of why a clinic loses staff to other employers
- Briefing a board on retention and agency spend
What's included
- Reasons page with a summary and the main reasons for leaving
- Workload page with a risk heat map and register
- Staffing page with a directory and bank and agency contacts
- Support page with named contacts and a crisis callout
- Suggestions page with a SWOT, a timeline and a checklist
- Guide page with steps to interview and report in aggregate
How to use it
- 1
Click Make a copy in Google Docs, then confirm on the Google page. The copy is saved to your own Google Drive.
- 2
Replace the reasons, percentages and quotes with your own findings.
- 3
Keep the confidentiality statement and the rule that no leaver is named.
- 4
Assign owners and dates to every suggestion before you share the review.
- 5
Delete the guide page, then share the summary or present it from Google Docs.
What you need
Requirements
- A Google account with access to Google Drive
Works with
- Google Docs
- Microsoft Word (download the .docx)
Questions
Are the clinic and staff real?
No. Wrenfield Services, its staff, the leaver findings and every figure are fictional sample material, written to show a finished review.
Can I use it for other sectors?
Yes. Keep the structure and the reporting rules, then replace the workload and staffing questions with the pressures that matter in your sector.
How do I keep leavers candid?
Interview them outside their line, tell them how the notes will be used, and report only in aggregate, so no one fears a reference or a grudge.
- #exit-interview
- #leaver-feedback
- #healthcare-staff
- #staff-retention
- #workforce-planning
- #google-docs-template
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