Gather feedback from departing employees.
Exactly what visitors will see on your site
Every field in this template, ready to use out of the box.
Name
text · required
Department
text · required
Reason for Leaving
select · required
Job Satisfaction
select · required
What could we improve?
textarea · required
Choose HTML for static sites or React for component-based apps. Replace YOUR_FORM_ID with your Flowqen endpoint ID.
<formaction="https://flowqen.com/api/f/YOUR_FORM_ID"method="POST"class="max-w-xl mx-auto rounded-[32px] border-2 border-[#231b17] bg-[#fffdf9] px-6 py-7 shadow-none sm:px-8"><h2 class="text-2xl font-semibold tracking-tight text-[#231b17] mb-6">Exit Interview</h2><div class="space-y-4"><div><label class="mb-1.5 block text-sm font-medium text-[#4f4138]">Name</label><input type="text" name="name" class="w-full rounded-[18px] border border-[#d9cdc3] bg-white px-4 py-3 text-sm text-[#231b17] outline-none transition focus:border-[#231b17] focus:ring-4 focus:ring-[#231b17]/8" placeholder="John Doe" required /></div><div><label class="mb-1.5 block text-sm font-medium text-[#4f4138]">Department</label><input type="text" name="department" class="w-full rounded-[18px] border border-[#d9cdc3] bg-white px-4 py-3 text-sm text-[#231b17] outline-none transition focus:border-[#231b17] focus:ring-4 focus:ring-[#231b17]/8" placeholder="Engineering" required /></div><div><label class="mb-1.5 block text-sm font-medium text-[#4f4138]">Reason for Leaving</label><select name="reason" class="w-full rounded-[18px] border border-[#d9cdc3] bg-white px-4 py-3 text-sm text-[#231b17] outline-none transition focus:border-[#231b17] focus:ring-4 focus:ring-[#231b17]/8" required><option value="">Select...</option><option value="Better opportunity">Better opportunity</option><option value="Compensation">Compensation</option><option value="Work-life balance">Work-life balance</option><option value="Management">Management</option><option value="Growth">Growth</option><option value="Other">Other</option></select></div><div><label class="mb-1.5 block text-sm font-medium text-[#4f4138]">Job Satisfaction</label><select name="satisfaction" class="w-full rounded-[18px] border border-[#d9cdc3] bg-white px-4 py-3 text-sm text-[#231b17] outline-none transition focus:border-[#231b17] focus:ring-4 focus:ring-[#231b17]/8" required><option value="">Select...</option><option value="Very Satisfied">Very Satisfied</option><option value="Satisfied">Satisfied</option><option value="Neutral">Neutral</option><option value="Dissatisfied">Dissatisfied</option></select></div><div><label class="mb-1.5 block text-sm font-medium text-[#4f4138]">What could we improve?</label><textarea name="improvements" rows="4" class="w-full rounded-[18px] border border-[#d9cdc3] bg-white px-4 py-3 text-sm text-[#231b17] outline-none transition focus:border-[#231b17] focus:ring-4 focus:ring-[#231b17]/8 resize-none" placeholder="Your honest feedback..." required></textarea></div></div><!-- Honeypot (spam protection) --><div style="display:none"><input type="text" name="_gotcha" style="display:none" /></div><button type="submit" class="mt-6 w-full rounded-[18px] bg-[#231b17] py-3 text-sm font-semibold text-white transition hover:bg-[#3a2f29]">Submit</button></form>
An exit interview form to understand why employees leave and collect improvement suggestions.
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