Address: 6285 Barfield Rd NE, Atlanta, GA 30328,
Job Interview USA . Website: www,[Link].
Tel: +1 [929] 226 0955 Fax: 929 226- 0980
Questionnaire
Applicant’s name
Interviewer’s name
Date
Question Answer Interviewer Notes
Please check the box that apply
Asked me to repeat or rephrase the
Your Full Name : question
Address : Answered with isolated words or small
Country phrases
Mobile Phone #(s) Answered in complete sentences
Email:
Asked me to repeat or rephrase the
* Are you willing to work question
?? Full Time Answered with isolated words or small
?? Part Time phrases
?? Weekends Answered in complete sentences
?? Holidays
Asked me to repeat or rephrase the
* Did you have International Passport? question
If yes, what is your International Passport Answered with isolated words or small
Number: phrases
Answered in complete sentences
Asked me to repeat or rephrase the
* Do you have a valid Driven License? question
Yes ?? No ?? Answered with isolated words or small
?? Class A phrases
?? Class B Answered in complete sentences
?? Class C
Asked me to repeat or rephrase the
* Are you married YES or No question
Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
What position are applying? question
Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
How many year’s working experience do question
you have Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
Briefly write about your working experience question
and how you will impact it in this reputable Answered with isolated words or small
company and what new innovation can you phrases
bring into this company for positive growth Answered in complete sentences
if employed.
Asked me to repeat or rephrase the
Why do you want to work for our company? question
Answered with isolated words or small
phrases
Answered in complete sentences
Page 1 of 4
Asked me to repeat or rephrase the
Describe a difficult situation you have been question
in when responding to your call of duty. Answered with isolated words or small
How did you handle this? phrases
Answered in complete sentences
Asked me to repeat or rephrase the
What do you do when priorities change question
quickly? Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
How much notice do you require before question
leaving for a placement with your Answered with isolated words or small
company? phrases
Answered in complete sentences
Asked me to repeat or rephrase the
Have you traveled outside your country question
before? Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
Do you have a valid US WORKING VISA question
and Work Permit to travel down to United Answered with isolated words or small
STATES if finally you are employed to phrases
work in this Company? Answered in complete sentences
Asked me to repeat or rephrase the
If you don’t have a valid US WORKING question
VISA to resume work if employed, can you Answered with isolated words or small
procure VISA in your country or company phrases
should refer you to registered US VISA Answered in complete sentences
CONSULTANT that will assist you Visa
for resumption?
Asked me to repeat or rephrase the
What skills have you acquired that would question
help you carry on your responsibilities? Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
Please provide three references. question
Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
question
Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
question
Answered with isolated words or small
phrases
Answered in complete sentences
Page 2 of 4
Asked me to repeat or rephrase the
question
Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
question
Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
question
Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
question
Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
question
Answered with isolated words or small
phrases
Answered in complete sentences
The remaining questions are to be completed by the interviewer
Poor Fair Good
Excellent
Please rate the Job Seekers: Appearance Excellent
Self Confidence Excellent
Attitude Good
Manners Excellent
Communication skills Good
English Rating Scale
1 – Uses few or no English words; understands greetings and other basic, memorized phrases.
2 – Uses some English phrases though thoughts may be disconnected; understands basic English sentences when spoken clearly and
slowly but relies on body language and facial expressions to determine meaning.
3 – Responds in complete thoughts and has a large vocabulary of everyday common terms. Can perform tasks based on a short series of
instructions, takes short time to mentally translate and can understand complex sentences when repeated or rephrased.
4 – Responds in complete sentences and can re-word what he/she is saying when the meaning is unclear or when he/she cannot remember
unusual vocabulary words. Can perform tasks based on complex instructions and understands others when they are speaking at a natural
rate.
5 – Responds completely with more descriptive language and does not take time to mentally translate when listening or speaking.
Understands conversations about abstract things.
Page 3 of 4
Based on the table above, please rate the applicant’s ability both to Rating: Native
speak and comprehend English. Briefly explain your decision.
Explanation:
This applicant will make a good staff workers for the following
reasons:
What difficulties will the applicant experience while placed
working in a foreign country?
Interviewer’s signature
Date
Page 4 of 4