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

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