Assessment
Questionnaire
Direction : This assessment has three types of
questions. Some questions ask about your experiences
and thoughts. Others ask how you would handle a
variety of work situations. There are also questions
that ask you to solve problems. It is BEST to answer
honestly as your answers may be checked for the
accuracy at a later time. Work quickly and accurately
to answer each questions.
1. If you do not get this job, how easy will it be for
you to get another job?
a.
b.
c.
d.
e.
Very Easy
Easy
Difficult
Very difficult
I don’t know
5. A customer asks you a question and you are not
sure of the answer. You feel the customer expects
you to know the answer. What would you be MOST
likely to do?
a. See if you can get them to answer their own
question by talking it through with them.
b. Make up an answer to satisfy them now and
plan to correct it later if needed.
c. Bring someone into the conversation who
can answer their question.
d. Explain that I do not have the information to
answer their question but that I will get back
to them shortly with the answer.
e. Deflect the question and focus their
attention on a different issue.
6. How were you evaluated by your supervisor in your
current or most recent job?
a.
b.
c.
d.
e.
Outstanding
Above average
Average
Somewhat below average
I have not been employed or evaluated
2. I would prefer a job in which…….
a. The work is interesting
b. b. I am helping people
3. How long have you worked in your current or
most recent job ?
a.
b.
c.
d.
e.
Less than 6 months
Six months to one year
One to two years
More than two years
I have never held a job
4. I always pay attention to every detail.
a.
b.
c.
d.
e.
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
7. How often do people come to you with their
problems?
a.
b.
c.
d.
e.
Never
Rarely
Sometimes
Frequently
Almost always
8. People say I can be counted on to do whatever it
takes to get the job done.
a.
b.
c.
d.
e.
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
9. I consistently focus a high level of energy on my
work.
a.
b.
c.
d.
e.
Strongly Agree
Agree
Neither or Disagree
Disagree
Strongly Disagree
10. In school, how many of your teacher’s didn’t like
you or gave you a difficult time?
a.
b.
c.
d.
e.
Most
About half
Some
Very few
None
11. Suppose we contacted your most recent
supervisors ( or teachers ). They would be
most likely to describe your skills at meeting
deadlines under pressure as:
a.
b.
c.
d.
e.
Superior
Above average
Average
Below average
Well below average
12. I dislike having several things to do on the
the same day.
a.
b.
c.
d.
e.
Strongly Agree
Agree
Neither or Disagree
Disagree
Strongly Disagree
13. Supposed we contacted your most recent
supervisors ( or teachers ). How would they
most likely to describe the speed with which
you complete your assignments?
a.
b.
c.
d.
e.
Much faster than others
Somewhat faster than others
About the same as others
Slower than others
I don’t know
14. In high school, how many classes did you fail?
a.
b.
c.
d.
e.
None
One
Two
Three
Four or more
15. How do you respond to a new team member?
a. Talk with them about the team’s needs
b. Ask them to socialize with the team outside
work
c. Immediately get them involved in team
activities
d. I have never been in this situation
e. Ask them to take a leadership role
16. How often do people come to you for advice or
suggestions?
a.
b.
c.
d.
e.
Always
Frequently
Occasionally
Seldom
Never
17. How would others rate your ability to handle last
minute changes?
a.
b.
c.
d.
e.
Well above average
Above average
Average
Below average
Well below average
18. Suppose we contact your most recent supervisors
( or teachers ). What would they say about how
often you stretch the rules at work ( or in school )
to get things done?
a.
b.
c.
d.
e.
It never happens
It rarely happens
It happens occasionally
It happens frequently
I don’t know
19. I am always on time.
a.
b.
c.
d.
e.
Strongly agree
Agree
Neither or Disagree
Disagree
Strongly Disagree
20. During the middle of a shift, you notice that your
co-worker Jim, looks really upset. What action
would you take?
a. Volunteer to work during your break so
Jim can have extra time to cool off.
b. Ask Jim if he’s having family problems.
c. Ask Jim if there is anything you can do to
help.
d. Let your supervisor know that Jim might
not be OK.
e. Leave Jim alone and give him time to cool
off.
21. If asked, my most recent managers ( or teachers )
would say that I can work longer and harder than
most of my co-workers ( or classmates ).
a.
b.
c.
d.
e.
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
22. People say I always do things correctly and
accurately.
a.
b.
c.
d.
e.
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
23. Compared to your peers, how often do you lead
others?
a.
b.
c.
d.
e.
Much less often
Somewhat less often
About the same
Somewhat more often
Much more often
24. In school, how frequently per year did you request
an extension on due date from a teacher?
a.
b.
c.
d.
e.
Never
One
Two
Three
Four or more times
25. In the past year, how many times were you late for
work ( or class )?
a.
b.
c.
d.
e.
Never
1 or 2 times
3 to 5 times
6 or more times
I have not worked ( or have a class ) in the
past year.
26. People say I am the best worker they have ever
seen.
a.
b.
c.
d.
e.
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
27. I am sometimes unkind to others.
a.
b.
c.
d.
e.
Strongly Agree
Agree
Neither or Disagree
Disagree
Strongly Disagree
28. How would you describe your grades in high
school?
a.
b.
c.
d.
e.
I got mostly A’s
I got mostly B’s
I got mostly C’s
I got mostly D’s and F’s
My school did not give grades.
29. How do you typically handle stress on the job
( or in school )?
a. Stress does not influence how I approach my
work.
b. I don’t know
c. I work more slowly, but concentrate
Harder.
d. I speed up to handle the extra work.
e. I rely on others more when I’m under stress.
30. People say I am a very reliable person.
a.
b.
c.
d.
e.
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
31. How often did you complete extra credit
assignments when they were offered in school?
a.
b.
c.
d.
e.
Whenever offered
About 75% of the time
About 50% of the time
About 25% of the time
Never
32. While you are working , you overhear a pair of
co-workers on break. The two are talking about
another team member because she works too
slowly. What would you be MOST likely to do?
34. While you are on break, a customer spills a large
drink in a busy area of the restaurant.
Cleaning the floors is the job of another team
member, but he is taking a customer’s order.
What would you do?
a. Ask the manager who should clean up the
spill
b. Tell the other team member about the
spilled drink
c. Talk to the team member and agree on a
plan to clean up the spill.
d. Warn customers about the spill until the
team member has a chance to clean it up
e. Clean up the spill as quickly as possible
35. Suppose we contacted your most recent
supervisor ( or teachers ). How would they
describe your dependability?
a. Much better than my co-workers
( or classmates )
a. Tell the team member that others are talking
about her and she should work faster.
b. Tell the co-workers not to complain about
another team member.
c. Suggest that the co-workers directly talk
with the person who works too slowly.
d. Keep working on my own tasks and say
nothing to the co-workers.
e. Suggest that the co-workers talk about their
concern with the supervisor.
33. I often lose my patience with others.
a.
b.
c.
d.
e.
Strongly Agree
Agree
Neither Agree or Disagree
Disagree
Strongly Disagree
b. Somewhat better than my co-workers
( or classmates )
c. About the same as my co-workers
( or classmates )
d. Worse than my co-workers
(or classmates)
e. Much worse than my co-workers
( or classmates )