Spouse/Partner questionnaire

Background Investigation

Relationship Questionnaire- Your responses are protected by law and will never be shared with the applicant.
Applicant's name*

First NameLast Name
Your name*

First NameMaiden Name
Maiden name:
Your Phone Number

Area CodePhone Number
Your E-mail address
Type of Relationship:*
Dates of relationship:*
Exp: 5/2000 to 9/2009
How and where did you meet? How long have you known the applicant?*
Has the applicant ever been physically or mentally abusive to you, such as yelling, berating, hitting, pushing, slapping, shoving or threatening to harm you in any manner?*
How does the applicant handle adversity, stressful or frustrating situations?*
Have you ever known the applicant to act in an impulsive or reckless manner?*
Are they a responsible driver?*
Have you ever observed the applicant display any bias or prejudices toward anyone?*
How does the applicant interact with people in general?*
Exp: Hard to get to know, standoffish, friendly and personable.
How would you describe the applicant’s verbal and writing skills in English?*
How would you describe the applicant’s judgment and decision making skills?*
Are you aware of any history of employment problems?
How does the applicant manage personal finances? Do/Did they work well with you in financial decisions, or do they hide the fact they have purchased items, or gambled?*
Have you ever observed or suspected the applicant was committing any drug and or alcohol related crime?*
I.E., Drunk driving, drunk in public, behavior changes due to alcohol or drug use.
Do you have any knowledge of the applicant abusing drugs and/or prescription medications?*
Are you aware of the applicant having any negative contact with law enforcement?
Other than minor traffic violations.
Have you ever questioned the applicant’s honesty or integrity?*
What areas of the applicant's life do you think could improve?*
Relationships, education, employment, etc.
Do you support the applicant’s desire to work in Public Safety?*
Is there anything we did not ask that you think is important to note?*
Do you know anyone else who might be able to provide information about the applicant?*
Please provide name, phone or email address.
What were your age's when the relationship started? You in box 1*
Office Use Only: Conducting Interview
Should be Empty:

Background Investigation