Background Investigation
Relationship Questionnaire- Your responses are protected by law and will never be shared with the applicant.
Applicant's name
*
First Name
Last Name
Your name
*
First Name
Maiden Name
Maiden name:
Your Phone Number
-
Area Code
Phone Number
Your E-mail address
Type of Relationship:
*
Please Select
Spouse
Former Spouse
Fiance
Former Fiance
Intimate Partner
Former Intimate Partner
Registered Domestic Partner
Former Registered Domestic Partner
Significant other (over 3 months)
Former significant other
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
*
Submit
Office Use Only: Conducting Interview
Please Select
Investigative Specialist
Associate Investigator
Should be Empty: