DUE DELIGENCE FOR INCOMING STAFF
EMPLOYMENT FEEDBACK FORM
Employee’s Name:
Position held: _______________________________
Company name: _______________________________
Address: _______________________________
Telephone: _______________________________
Please answer all questions honestly and accurately:
1. What period was he/she in the employment of your organization and when did he/she leave the organization?
______________________________________________________________________________
2. In what capacity did he/she work for your company?
______________________________________________________________________________
3. How would you rate his/her performance on the job?
______________________________________________________________________________
4. Did he/she resign properly from your organization and when?
______________________________________________________________________________
5. How would you describe his/her character as a person- in terms of attitude to the job, honesty….etc?
______________________________________________________________________________
6. Would you be willing to consider him/her for a position in your organization should the opportunity arise in future?
______________________________________________________________________________
7. Would you describe his/her personality? Would you rather describe him/her as a lazy/energetic/proactive and/or lackadaisical person? Please be detailed.
______________________________________________________________________________
8. What was his/her last salary with your organization?
______________________________________________________________________________
9. Did he/she meet his/her targets while in your employment?
______________________________________________________________________________
10. Would you refer to him/her as a man/woman of integrity?
______________________________________________________________________________
11. How was his/her relationship with his/her colleagues and clients in general?
______________________________________________________________________________
Please tick which box accurately applies:
Excellent
Good
Satisfactory
Below Average
Poor
General Conduct
Work Performance
Attitude to Work
Initiative
Time Keeping
Relationship with
Colleagues
Relationship with
Customers
____________________________________ _______________________________
Human Resource Manager Signature/Date
____________________________________ _______________________________
Phone Number Official Stamp/Seal
Human Resource manager