REFERENCE QUESTIONNAIRE

Name of the candidate: __________________________________

Name of reference provider: __________________________________
Organization : __________________________________
Position: __________________________________
Phone Number: Landline: ______________________
Mob: ______________________
E-mail: __________________________________

1) How many years of association have you had with the candidate in question?

2) List his/her strengths as a professional

3) List his/her areas of improvement?

4) Rate the candidate on a scale of 1-5 where 1 is the lowest and 5 is the highest. Circle the
number you consider appropriate

a) Knowledge of job 1 2 3 4 5
b) Reliability and Flexibility 1 2 3 4 5
c) Responsibility 1 2 3 4 5
e) Target/Result orientation 1 2 3 4 5
f) Communication Skill 1 2 3 4 5
g) Attitude 1 2 3 4 5

5) Would you recommend this candidate to be hired by our organization?