Client Exit Interview Form

Client Exit Interview Form — Form Fields

This business template includes 10 fields. Capture structured feedback from departing clients to understand churn reasons and improve retention. Free to customize and use on ZenBuild.

• Company Name (text, required)
• Contact Name (text, required)
• Email Address (email, required)
• Reason for Leaving (dropdown selection, required) — options: Price Too High, Switching to Competitor, Feature Gaps, Poor Support, Business Change, Other
• Primary Issue Experienced (long text, required)
• Overall Satisfaction During Engagement (rating, required)
• Would You Consider Returning in the Future? (dropdown selection, required) — options: Yes, Maybe, No
• What Could We Have Done Differently? (long text, optional)
• Did You Find an Alternative Solution? (dropdown selection, required) — options: Yes, No, Still Looking
• Alternative Provider (if applicable) (text, optional)