Stay Interview Dispatch Request

1

Company name* This field is required.

2

Primary contact name* This field is required.

First Name

Last Name

3

Contact email* This field is required.

example@example.com

4

Contact phone number

Please enter a valid phone number.

5

Job title / role

6

Team or department name* This field is required.

7

Approximate number of team members to be included

8

Primary work location for this team

9

Level(s) of employees to be interviewed

Individual contributors

Supervisors / team leads

Middle management

Senior leadership

Other

10

Preferred start date for stay interviews

Date

11

Preferred completion date or timeframe

13

Are there any blackout dates or periods when interviews should not be scheduled?

14

What are your primary goals for these stay interviews?* This field is required.

Understand reasons employees stay with the organization

Identify early warning signs of disengagement or turnover risk

Gather feedback on leadership and management practices

Improve employee experience and engagement

Inform retention strategies and action plans

Explore specific recent changes (e.g., reorg, policy changes)

Other

15

Please describe any specific concerns, topics, or questions you want addressed in the stay interviews.

16

Are there particular employee groups or individuals we should prioritize or exclude?

17

Additional comments or special requests

18

Relevant documents (e.g., org charts, role descriptions, recent survey summaries)

Drag and drop files here

Select files to upload

Max. file size: 10.0MB

19

What happens after you submit this request?

After you submit this form, our team will review your request and reach out to the primary contact within 2–3 business days to confirm details, discuss your goals, and propose a stay interview plan and schedule. We may follow up by email or phone if we need clarification on any of your responses before finalizing the timeline.