Job Interview
Questionnaire
Applicant’s name
Phone number:
Date
Question
Why do you want to work in U.K?
What would you need in order to enjoy your
time in the U.K?
Describe your plans for the future. What
are your goals?
Describe your general health.
Have you ever suffered from or sought
treatment for depression, alcoholism, drug
addiction or an eating disorder? Please
explain.
Have you ever initiated an act of violence in
the workplace?
Describe any history of Job abuse in any
company you have previously worked?
List all special technical skills that you feel
qualify you for the job for which you are
applying
Why should we hire you?
What are your strengths And Weaknesses?.
THOMAS BRYAN PALACIOS GARCIA
0051964960561
10/11/2018
Answer
Because I want to look for new
opportunities in developed countries, as
there is in Europe.
To enjoy U.K part of the job you need to be
busy in social work activities.
Go training in my professional studies, be a
person with values and principles and help
my family.
I am a very healthy person, allergic to
some antibiotics, but very healthy in
general.
No, I never suffered from that type of
addictions.
No, I was always a very peaceful
person.
I worked many hours loading products
from a retail store for customers.
I am a proactive person, with a capacity for
teamwork, technical and university studies
in administration, microsoft office studies.
Because I am a responsible person, with
a lot of desire to do things well and
above all to learn and know new things.
My strengths: I am responsible,
proactive, eager to learn, professional in
administration My weaknesses: a little
forgetful, very sentimental, etc.
Interviewer Notes
Please check the box that apply
 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
Page 1 of 4
Job Interview
Questionnaire

Page 1 of 4

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
Yesterday was my graduation for the
bachelor's degree. a very long-awaited
date for me.
In the place where you work, there are
not some workers' payment slips, you
will know something about how the
planning system will work and the
printing of ballots.
Sometimes in the office, when the
assistant manager had work
commissions, I was in charge of
managing the office and the work we
did, with them we performed all the
required activities.
What motivates me is to move my
family forward, and also to others,
letting them know that they have all the
capabilities to do things.
In five years I would like to have my
own house, to give my family a better
life.
I have not traveled to countries that
speak English
Yes, I have no problem, everyone has
the right to choose their religion,
according to their faith. It is also
specific to each culture.
My area of studies is the human
resource, because I like to be active
with people, support them and find
solutions.
What I like is that there was a very
good work environment and excellent
teamwork, what I did not like is that
you do not have the necessary
infrastructure.
No, I've never had any police or judicial
problems.
 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
Page 2 of 4

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.
1. Association working for smiles
2. District Municipality of Catacaos.
3.Rotary international
4.Promart

Page 2 of 4

How will you adjust to a new company,
country and culture?
How much notice do you require before
leaving for a placement with your
company?
What are you passionate about?
What problems do you anticipate while
working in your previous job?
How do you feel about being placed with a
Company of a different race or has different
political views or beliefs?
Knowing a little more about their
culture, their way of life, how they
work and above all respecting their
community.
I have immediate availability.
I love my job and the desire to help
work, and children and women can
develop their skills.
I have never had any problems.
I feel calm, wanting to contribute with
the development in the company, and
with respect for its political, religious
and cultural ideology.
 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