Key Area Or Dimension

File:Office Binder/Office Management

Interview Evaluation Form

Review these character attributes before you interview your candidate. Keep these in mind with you talk to the candidate and ask her questions. Complete this form once the interview is over.

Applicant: ______Date: ______

Position Interviewed For: ______Interviewer: ______

RATING: 1 = not acceptable or relevant; 5 = extremely acceptable, relevant, or appropriate.

Circle the number that best describes the candidate.

KEY AREA OR DIMENSION / RATING / COMMENTS
Attitude - Is the candidate optimistic and positive? / 1 2 3 4 5
Competence - Does the candidate seem to have the core skills for the position? / 1 2 3 4 5
Experience - Does the candidate have the relevant experience for the position? (Chiropractic, customer service, etc.) / 1 2 3 4 5
Compatibility – Does the candidate seem to fit into our office atmosphere and culture. / 1 2 3 4 5
Communicating – Does the candidate communicate freely and easily in a warm and friendly fashion. / 1 2 3 4 5
Career goals. Does the candidate’s career goals align with the goals of the office. (Is she a C.A. as a short term fill in till accepted to Astrology school?) / 1 2 3 4 5
Assertive. Does the candidate appear to be willing and able to be assertive with patients in order to schedule, collect payments, and generate referrals? / 1 2 3 4 5
Compliant – Does it appear that the prospect is willing to learn new policies and procedures of the office and follow them? (Or does she already “know “how to do the work from working tavern?) / 1 2 3 4 5
Communication – Listening. How well does the candidate seem to listen and understand? / 1 2 3 4 5
Communication – Speaking. How accurately and timely does the candidate answer your questions: non-sensical and drawn out, or articulate, warm, and to the point. / 1 2 3 4 5
Maturity - Is the candidate professional and emotionally mature. / 1 2 3 4 5
Stability - Has the candidate shown longevity or commitment in prior positions? Does she show up and work on time? / 1 2 3 4 5
KEY AREA OR DIMENSION / RATING / COMMENTS
Integrity - Will the candidate be honest, trustworthy, and dependable? / 1 2 3 4 5
Health Care – Is the candidate personally engaged in health related and or activities, such as running, organic food, wellness, skiing, yoga, etc. / 1 2 3 4 5
Chiropractic – Has the candidate personally seen a chiropractor? How about parents, spouse, etc. / 1 2 3 4 5
Selling Health – How does the candidate feel about selling and marketing chiropractic and natural health? / 1 2 3 4 5
Education - Does the candidate have the desired or required education for this position? / 1 2 3 4 5
Personal Appearance - Does the candidate create a good personal impression (e.g., self-confident, attentive, eye contact, dress and grooming)? / 1 2 3 4 5
Energy Level - Does the candidate appear attentive, active and motivated? / 1 2 3 4 5

OVERALL RATING AND RECOMMENDATION (Circle One):

Unacceptable Marginal Good Very Good Outstanding

WRITE YES OR NO BELOW:

______In favor of hiring? ______Against hiring? ______Recommend for further interviews?

Comments:

Interviewer’s Signature: ______