About this template
The School Withdrawal Survey is an essential tool for educational institutions aiming to understand the 'why' behind student departures. By gathering candid feedback from families as they exit, administrators can identify patterns in dissatisfaction, uncover hidden strengths, and pinpoint specific areas where the school's programs or culture may be falling short. This data is critical for long-term strategic planning and improving student retention rates.
This template covers a comprehensive range of topics, including academic program satisfaction, faculty interaction, facility quality, and extracurricular offerings. It also asks families to rank the importance of various school features, helping leadership distinguish between 'must-have' services and secondary benefits. Whether you are a private school, charter, or independent institution, this form provides a structured, professional way to turn a difficult exit process into a constructive learning opportunity for your administration.
Key features
- Comprehensive exit feedback covering academics, faculty, and facilities.
- Prioritize school features to understand what matters most to families.
- Easy-to-analyze data for administrative reporting and board meetings.
- Professional, structured format that encourages honest responses.
- Fully customizable to match your school's specific programs and terminology.
Use cases
- Private school exit interviews for departing families.
- Collecting data for annual board of directors reports on retention.
- Identifying trends in student transfers to competing institutions.
- Post-withdrawal analysis to improve school climate and culture.
What this form collects
- Student Full Name (Short answer)Please provide the name of the student who is withdrawing.
- Current Grade Level (Short answer)What grade is the student currently in?
- Primary Reason for Withdrawal (Multiple choice)Please select the main reason for your decision to leave.
- Quality of Teaching (Linear scale)How would you rate the quality of instruction provided?
- School Facilities (Linear scale)Rate your satisfaction with the school's campus and facilities.
- Extracurricular Programs (Linear scale)Rate your satisfaction with the arts, athletics, and club offerings.
- What did you value most about your time here? (Paragraph)Please share the positive aspects of your experience at our school.
- What could we have done differently? (Paragraph)Please share any suggestions for improvement.
- Additional Comments (Paragraph)Is there anything else you would like to share with the administration?
FAQ
Why is it important to survey families who are already leaving?
Exit feedback is often the most honest data you will receive. It highlights systemic issues that current families might be hesitant to voice, providing a roadmap for necessary improvements.
Can I customize the questions to fit my school's specific programs?
Yes. Once you copy this template to your Google Drive, you can add, remove, or edit any questions to reflect your school's unique curriculum, sports, or arts programs.
How can I ensure the feedback remains honest and constructive?
You can configure your Google Form to be anonymous if you prefer, which often encourages families to provide more candid and detailed feedback regarding their experience.
How often should we review the data collected from this form?
We recommend reviewing the aggregated results at the end of each semester or academic year to identify trends and present actionable insights to your leadership team.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.