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Job Interview

Questionnaire

Applicants name
Phone number.:
Date

Question Answer Interviewer Notes


Please check the box that apply
Asked me to repeat or rephrase the
Why do you want to work in U.K? question
Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
What would you need in order to enjoy your question
time in the U.K? Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
Describe your plans for the future. What question
are your goals? Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
Describe your general health. question
Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
Have you ever suffered from or sought question
treatment for depression, alcoholism, drug Answered with isolated words or small
addiction or an eating disorder? Please phrases
explain. Answered in complete sentences
Asked me to repeat or rephrase the
Has anyone in your family suffered from question
depression or alcoholism? Please explain. Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
Describe any history of Job abuse in any question
company you have previously worked? Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
Describe where you were born and raised question
Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
Do you have any siblings? If so, how old question
are they? Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
Describe the relationship you have with question

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Job Interview
Questionnaire

your siblings. Answered with isolated words or small


phrases
Answered in complete sentences

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Asked me to repeat or rephrase the
How often do you have contact with your question
family members? Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
Describe your familys support of your question
decision to work in U.K. Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
What is your familys reaction to you question
spending a 2year away from home? Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
How were you disciplined as a child? question
Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
When, where and for how long have you question
spent time away from home? Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
When, where and for how long have you question
traveled in English-speaking countries? Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
Are you willing to be placed with a question
Company that is of a different religion? Answered with isolated words or small
How would you accommodate? phrases
Answered in complete sentences
Asked me to repeat or rephrase the
What is your favorite area of study? Why question
do you like it? Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
What did you like about your last Job question
experience? What did you dislike about it? Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
Where and when did you complete any question
formal English courses? Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
What volunteer work have you done? question
Answered with isolated words or small

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phrases
Answered in complete sentences

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Asked me to repeat or rephrase the
How will you adjust to a new company, question
country and culture? 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
question
Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
What problems do you anticipate while question
working in your previous job? Answered with isolated words or small
phrases
Answered in complete sentences
Asked me to repeat or rephrase the
How do you feel about being placed with a question
Company of a different race or has different Answered with isolated words or small
political views or beliefs? 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.

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Based on the table above, please rate the applicants 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?

Interviewers signature

Date

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