First Name:
Last Name:
Phone:	()
Email:
Did you arrive to the interview on time? Yes No
Were you prepared for the interview? Yes No
Did you feel comfortable during the interview? Yes No
Was there any discussion in regards to salary? Yes No
Were there any questions asked that you had a difficult time in answering? Yes No
On a scale of 1 to 5 how do you feel the interview went?
Do you believe this company is for you? Yes No
Can you bring a lot to this company? Yes No
If offered a position are you prepared to accept? Yes No
Comments or Questions: