Relative Questionnaire

Relative - Your Name *


Phone Number *

Today's Date *

Your Email address
If you would like a copy of your answers, please provide your e-mail address.
Applicant's name *
How are you related *
I am his Mom, Dad, Step-parent, brother, sister, cousin, etc.
1) How often do you have contact with the applicant? *
2) How would you describe the applicant's personality? Has it changed? *
3) How does the applicant handle adversity, stress or frustrating situations? *
4) Has the applicant ever been impulsive or acted in a reckless manner while driving? *
5) Are you aware of any domestic abuse during any of the applicant's past or present relationships? *
6) How does the applicant interact with people in general? *
7) How would you rate or describe the applicant’s verbal and writing skills? *
8) How would you describe the applicant’s judgment/decision making skills? *
9) Are you aware of any history of employment problems? *
10) Have you ever observed or suspected the applicant was committing any alcohol related
crimes, such as DUI or being intoxicated in a public place, or of abusing illegal drugs and/or prescription medications?
11) Are you aware of the applicant having any negative contact with law enforcement? *
12) Has the applicant ever displayed a prejudice toward anyone because of
their race, religious beliefs, ethnicity, or sexual orientation?
13) Do you have any knowledge of how the applicant manages their finances? *
14) Have you ever questioned the applicant's honesty or integrity? *
15) What areas do you think the applicant could improve? *
16) Would you recommend the applicant for this position? Why? *
17) Is there anything not asked that you think is important to note? *
18) Do you know anyone else who may be able to provide information about the applicant?

If so, provide name, phone or an email address.
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