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