HR Verification Questionnaire – Employee Background Check

Employee Name

Position Applied For

Date Sent

HR Name

Designation

Phone

Company Name

Company Location

Signature (Optional)

Employment Dates

Last Designation & Department

Employment Type

Core Strengths

Project Ownership Example

Rate Technical Skillset (1–10)

Rate Problem-Solving (1–10)

Rate Learning Agility (1–10)

Job-hopping or Politics

Long-term Intent or Exit-Oriented?

Notice Period Served?

Punctuality & Attendance

Disciplinary Issues (if any)

Respect for Hierarchy/Policy

Interaction with Colleagues

Team Spirit or Solo Worker?

Coachability

Reason for Departure

Would You Rehire?

Any Red Flags?

Describe Under Pressure (One Word)

Uplift Others or Focus on Self?

Focus on Salary/Title or Real Growth?

Prioritized Self Over Company?

Protected Company Interest?

Job-hunting Before Exit?

Reaction to Denied Promotion or Raise

Political Behavior or Influence Attempts?

Trusted with Key Clients/Investors?

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HR Verification Questionnaire – Employee Background Check

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