Job Interview

Questionnaire

Applicant’s 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
Have you ever initiated an act of violence in question
the workplace?  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
List all special technical skills that you feel question
qualify you for the job for which you are  Answered with isolated words or small
applying phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
Why should we hire you? question
 Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
What are your strengths And Weaknesses?. question
 Answered with isolated words or small
phrases
 Answered in complete sentences

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Tell me about an accomplishment you are
proud of?
Describe a situation in which you solved a
problem?
Describe a situation in which you
led/worked in a team?
What motivates you? / How do you
motivate the others??
Where do you see yourself in five years??
When, where and for how long have you
traveled in English-speaking countries?
Are you willing to be placed with a
Company that is of a different religion?
What is your favorite area of study? Why
do you like it?
What did you like about your last Job
experience? What did you dislike about it?
Have you ever been arrested for any matters
for which you currently are out on bail or on
your own recognizance pending trial
Please list the names of your present and/or
previous employers in chronological order
with present or last employer listed first. If
self-employed, supply firm name, and
business references.
 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
 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
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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
What are you passionate about? 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:

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 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

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