TORRAYAH'S TOUCH, LLC PRE-SCREENING QUESTIONNAIRE

TORRAYAH'S TOUCH, LLC PRESCREENING QUESTIONNAIRE
Name

First NameLast Name
Phone Number:
Email:
example@example.com
Position Applying for:
Possible Start Date:

MonthDayYear
Date
Current training certificate?

YesNo
Ever worked in home care?

YesNo
Currently working anywhere?

YesNo
If Yes, where?
DIRECT CARE STAFF INTERVIEW (PRE-Screening) Question work history, explain structured environment and ask problem solver, open ended questions, (document responses)
1. What would you do if you arrive at a Client’s home and he/she refused to let you in? Brief written response:
2. What would you do if your Client fell and insists that you do not call for help and insists that they are ok? Brief written response:
3. How long do you think it is okay to hold onto paperwork for a Client? Brief written response:
4. How would you respond if the supervisor gives you a written warning for something they have discovered happened? Brief written response:
5. What are the traits you think are most important in your coworkers or supervisor? Brief written response:
Thank you for your interest in Torrayah's Touch. LLC. We will be in touch after reviewing your Pre-screening submission.
Should be Empty:

TORRAYAH'S TOUCH, LLC PRESCREENING QUESTIONNAIRE