Manager Assessment Feedback Form

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Manager Assessment Feedback Form
An assessment form must be completed and returned to the Recruiter for all interviewed
candidates within 3 business days of the interview(s). A job offer will not be extended until an
assessment feedback form is received on all candidates interviewed.
Candidate Name_________________ Position Title _________
Interview Date: [free text box/add calendar]
Name of the manager with whom the reference check was completed:
Did the candidate possess the required skills and qualifications to perform the job?
Yes
No
Did the candidate possess any of the preferred skills and qualifications to perform the job?
Yes
No
Did the candidate exhibit Christiana Care’s Core Value Behaviors in his/her responses and
during the interview?
Yes
No
Does the candidate have relevant experience for the job that he/she interviewed for?
Yes
No
Did the candidate exhibit a sense of professionalism during the interview?
Yes
No
Did the candidate demonstrate teamwork / collaboration in his/her responses?
Yes
No
Did the candidate demonstrate examples of problem solving and/or quality improvement in
his/her responses?
Yes
No
Did the candidate clearly articulate an interest in working at Christiana Care in this position?
Yes
No
Overall communication – Points to consider: Did the candidate speak in a clear, organized and
respectful manner? Did he/she go off topic, long tangents, use slang, or did you need to ask a
Revised 5/3/16
Manager Assessment Feedback Form
An assessment form must be completed and returned to the Recruiter for all interviewed
candidates within 3 business days of the interview(s). A job offer will not be extended until an
assessment feedback form is received on all candidates interviewed.
Candidate Name_________________ Position Title _________
Interview Date: [free text box/add calendar]
Name of the manager with whom the reference check was completed:
Did the candidate possess the required skills and qualifications to perform the job?
Yes
No
Did the candidate possess any of the preferred skills and qualifications to perform the job?
Yes
No
Did the candidate exhibit Christiana Care’s Core Value Behaviors in his/her responses and
during the interview?
Yes
No
Does the candidate have relevant experience for the job that he/she interviewed for?
Yes
No
Did the candidate exhibit a sense of professionalism during the interview?
Yes
No
Did the candidate demonstrate teamwork / collaboration in his/her responses?
Yes
No
Did the candidate demonstrate examples of problem solving and/or quality improvement in
his/her responses?
Yes
No
Did the candidate clearly articulate an interest in working at Christiana Care in this position?
Yes
No
Overall communication – Points to consider: Did the candidate speak in a clear, organized and
respectful manner? Did he/she go off topic, long tangents, use slang, or did you need to ask a
Revised 5/3/16
series of follow up questions in order to get an answer to the question. Could the candidate
provide relevant examples?
Response to Questions
☐ Candidate did fully answer the questions.
☐ Candidate did not fully answer the questions.
Clarity of Responses
☐ Candidate’s responses were clear and easy to understand.
☐ Candidate’s responses were not clear and easy to understand.
Interest in the Position
☐ Candidate’s response did portray enthusiasm for the position.
☐ Candidate’s response did not portray enthusiasm for the position.
Candidate recommended for hire:
Yes
No
**If yes, candidate will be offered the position that he/she interviewed for.
If no, select the reason(s) from the options below (select all that apply):
Although the candidate met the minimum requirements for the job, the job search will continue
to identify additional candidates who possess preferred skills for the position. Consider for other
similar CCHS positions.
Although the candidate met the minimum requirements for the job, another candidate was more
qualified because he/she had more relevant training and/or experience, or possessed preferred
skills for the position. Consider for other similar CCHS positions.
The candidate did not meet the preferred requirements of the job (Note: These must be present
on the job spec).
The candidate was not able to clearly articulate his/her responses in such a way that
thoroughly answered the interview questions.
Candidate is not able to meet schedule requirements, otherwise would be viable candidate.
Consider for other similar CCHS positions.
Indicate schedule(s) here
What schedule is candidate able to work?
Additional Comments:

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