Pre-employment Screening &
Personal Performance Pre-Survey Input
Data input required for setup

Survey Process Overview:
The actual survey process includes a full range of questions to determine the most comprehensive picture of your total people personality characteristics that ensure the best match of personal to job situation. Real value to customers is created more often in these indirect personal interactions and activities that are beyond the normal testing of job technical competency only. This is a limited example of the key points the the emotional intelligence survey tools actually covers, but it will give our Human Resources Specialist enough information to understand the current hiring or coaching issues you currently experience. Specifically to get a snapshot of the current situation versus the desired state. A Representative will call for a complimentary review of the issues and how the the Pre-employment and Personal Performance survey tools can be used to get the results you desire to improve hiring effectiveness, and on the job performance by matching the right person to the right job. Reducing costly hiring mistakes, recruiting expenses, turnover, job dissatisfaction leading to poor productivity and absenteeism.

Clicking the respective Radio button to indicate the range of disagreement to agreement with the Pre-Survey question.
(Rating 1 = Strongly Disagree, 2 = Disagree, 3 = Neutral, 4 = Agree, 5 = Strongly Agree)

Rating Column Example
Click a Radio Button for your rating

---

Start Pre-employment Screening Survey Input Form Here:

I am rating this organizational job position:

(enter brief position name description)

Key contacts in the organization the position interfaces with:
A
B
C

What are the top three critical items you need to achieve goals and be successful in this position?
A
B
C

Rate the job position characteristics needed to be successful,
that you need to evaluate or coach for improvement?

Rate for Current Experiences with Incumbents
Rate for desired personality characteristics desired, based on model employees or top performers

 

Question Number	Question	Rating
1.0	Energy	1=SD 5=SA
1.1	Incumbents personal energy level is high?
1.2	Desired personal energy needs to be high?
2.0	Stress	1=SD 5=SA
2.1	Incumbents, work well under stress?
2.2	Desired, to work well under stress?
3.0	Optimism	1=SD 5=SA
3.1	Incumbents have an optimistic view on job situations?
3.2	Desired an more optimistic view on job situations?
4.0	Self- Esteem	1=SD 5=SA
4.1	Incumbents demonstrate positive self-esteem?
4.2	Desire a less defensive or arrogant interaction?
5.0	Work	1=SD 5=SA
5.1	Incumbents deliver high levels of work?
5.2	Desired a more work orientated focus?	1=SD 5=SA
6.0	Detail	1=SD 5=SA
6.1	Incumbents attention to details is high?
6.2	Desired a more focused attention to detail?
7.0	Change	1=SD 5=SA
7.1	Incumbents adapt to change easily?
7.2	Desire more flexibility to changing job circumstances?
8.0	Courage	1=SD 5=SA
8.1	Incumbents demonstrate courage to take risks?
8.2	Desire more creative risk taking for improvement?
9.0	Directions	1=SD 5=SA
9.1	Incumbents require detailed directions?
9.2	Desire more self directed actions?
10.0	Assertive	1=SD 5=SA
10.1	Incumbents take others views into consideration?
10.2	Desire a more forceful assertion of views?
11.0	Tolerance	1=SD 5=SA
11.1	Incumbents are easy to unnecessary anger?
11.2	Desire more open approach to view all views?
12.0	Considerate	1=SD 5=SA
12.1	Incumbents look out only for themselves?
12.2	Desire more consideration of the needs of others?	1=SD 5=SA
13.0	Sociable	1=SD 5=SA
13.1	Incumbent enjoy being alone and reserved?
13.2	Desire more team interaction at a personal level?
14.0	In Summary
14.1	Areas needing focus or improvement?
14.2	Any other comments?
14.3	What other Pre-employment or Personal Performance Coaching Tools has your organization used?
	Pre-Survey Contact information for follow-up for Survey Needs discussion and setup
	First Name
	Last Name
	Title
	Your Company Name
	Company Address
	City
	State
	Zip
	Telephone
	Fax
	E mail Address
	Website Address
	Confidentiality - Your personal is consolidated with all the responses and is not traceable to you, unless you give us permission to share it with the organization sponsoring the survey Can we share your feedback from the survey? Select your level of confidentiality Do not share any personal data - consolidated report Contact me for approval on selected items of interest Feel free to me as the source for my comments & rating I am open to speak to the survey sponsors, on special request
	Availability to contact me, follow-up questions or clarification) Select One Contact Me - Immediately for follow-up on my responses Contact Me - No Rush for follow-up on my responses Contact Me - I have a question
	Best method and time for follow-up contact?
	How would you rate the overall survey experience?
	The Pre-Survey is complete. A CAPTech Representative will contact you.
	We appreciate for you time and input. Thanks

Submit to CAPTech Survey Coordinator:

www.captechvipservices.com
CAPTech International Inc.
Pre-employment and Personal Performance Coaching Survey Support Services
Any questions, feel free to call us at Tel 910-515-2453 or Click here to E-mail us.