Job Interview

Questionnaire
Applicant’s name
Interviewer’s name
Date 24th April 2023

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.S.A? Because is a country that get me several question
opportunities like rise professionally and  Answered with isolated words or small
learn plus improve my English, also, to phrases
know new experience as human being.  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.S.A?  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. My general health is fine, besides I work out question
in the gym and eat healthy.  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 No, I have never suffered or sought question
treatment for depression, alcoholism, drug treatment for depression, alcoholism, drug  Answered with isolated words or small
addiction or an eating disorder? Please addiction or eating disorder. phrases
explain.  Answered in complete sentences
 Asked me to repeat or rephrase the
Has anyone in your family suffered from No, none of my family members have question
depression or alcoholism? Please explain. suffered from depression or alcoholism.  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 I have never worked in any company question
company you have previously worked? previously in which I was victim of job  Answered with isolated words or small
abuse 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
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 family’s support of your question
decision to work in U.S.A  Answered with isolated words or small
phrases
 Answered in complete sentences
 Asked me to repeat or rephrase the
What is your family’s reaction to you question
spending a year 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
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 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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