Background Check Questionnaire
TO ANSWER QUESTIONS:
Please answer each question throughout the survey by clicking on the appropriate button under the number that best
describes the extent to which you feel uses these skills, compared to others in the workplace.
AS YOU READ EACH ITEM, PLEASE KEEP IN MIND:
The scale below is on a continuum of 1 - 7, where a "1" indicates that compared to others in the workplace, never
uses the skill under any circumstances. A "4" indicates that uses the skill to a moderate or average extent. A "7"
indicates that compared to others in the workplace, uses this skill at all times and under all circumstances.
If you cannot answer a particular question based on your own personal experience or observation of , click the "Not
Observed" (N/O) button.
EXTENT SCALE
Your responses are personal and do not reflect the views of any company/organization to which you belong
now or to which you have belonged in the past.
Never
Compared to others in the workplace, to what extent does Kay
1.
Show an attention to detail (e.g., create and maintain
accurate records of policies and procedures)?
2.
Develop realistic estimates for the department's resources,
timelines, and budget?
Assign tasks to direct reports according to their capabilities
3. (e.g., appropriately delegate tasks according to skill level or
area of expertise) ?
Remain flexible and adapt to variety on the job (e.g.,
4. effectively handle unexpected situations, demanding
stakeholders, and changing conditions)?
Make decisions and solve problems using sound reasoning
5. and judgment (e.g., get input, analyze relevant data) within
a framework of business priorities?
Create a mentoring environment for direct reports including
6. individual professional development and comprehensive
training plans?
Display proficiency with appropriate software applications
7. and technology (e.g., office management systems and
databases)?
8.
Stay up-to-date with best practices for administrative
procedures and processes?
9.
Listen carefully to others, taking time to understand and ask
appropriate questions without interrupting?
10.
Accept feedback without becoming angry or defensive and
use it to strengthen future performance?
11.
Possess excellent knowledge of administrative procedures
and processes?
1
Always
2
3
4
5
6
7
N/O
Build strong, positive working relationships with manager,
12. peers, and other individuals with whom the team interacts,
and maintain them over time?
Provide guidance to team (e.g., set objectives, establish
13. work schedules, develop and implement policies and
procedures) ?
Collaborate with key internal and external stakeholders
14. (management, clients, peers, support areas) to achieve
common goals?
15.
Focus team members on activities that will achieve the
greatest results for the business?
16.
Demonstrate trustworthiness, honesty, and high personal
standards in dealings with others?
Exhibit maturity and self-control, even in situations involving
17. conflict or stress (e.g., does not threaten or abuse others,
either physically or verbally)?
18.
Analyze and structure workflow to ensure efficient, costeffective operations?
19.
Build a strong and diverse team by continually recruiting and
selecting competent and talented people?
Act with ethics and integrity, ensuring that all projects and
20. other work activities meet or exceed industry standards
(e.g., appropriate storage of records)?
21. Consistently meet or exceed goals and expectations?
22.
Deliver timely and honest feedback to direct reports in a
constructive and non-threatening way?
23.
Treat other people, including those of different backgrounds,
beliefs, and gender, with fairness and respect?
Approach the job with confidence and a positive attitude
24. (e.g., respond to setbacks in a helpful and constructive
manner)?
25.
Effectively measure performance and hold direct reports
accountable for meeting their goals?
26. Plan, execute, and effectively manage projects?
27.
Convey information, such as goals and timelines, clearly
and concisely to direct reports?
COMMENTS
Regardless of how you rated , please answer the questions below, focusing only on work behavior. Your
responses to these questions are also confidential. No one will be identified in the report as having written
the comment.
Starting with the most important, please comment on the top 3 ways in which this individual can improve
his/her performance at work. We all realize that no one's perfect; in fact, we find that the majority of
references provide helpful information in this section. Comments must be made in English only. Thank you!