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REFERENCE CHECK QUESTIONNAIRE

1. How long have you known Ms. Peregrino? How did you come to know one another?

2. How did he/she relate with the ff. persons: Please expound.
a. Superiors

b. Colleagues

c. Subordinates

d. Clients (Internal/External) -

3. Cite instances wherein he/she showed his/her capability to lead a group towards the
completion of a given task.

4. How do you assess him/her based on her work habits and skills?
POOR GOOD EXCELLENT
ATTITUDE
1.Punctuality
2.Meeting Deadlines
3.Listening Skills
4.Reliability
5.Cooperation
APTITUDE
6.Planning & Organizing
7.Decision Making

5. Do you know any issue affecting his/her moral and/or financial integrity?
If yes, cite an instance.

6. Based on your perception, is he/she able to balance his/her personal life and career? Please
comment on his/her family background/religion/interests outside work.

7. a. What functional areas did he/she handle during his/her stint with the company? How do you
rate his/her performance? Cite major contributions.

b. What other work-related skills did he/she develop?

c. What are his/her areas of improvement?

8. What was his/her reason/s for leaving the company?

Signed By:
________________________________________ __________________
Signature Over Printed Name / Relationship with the Applicant Date Signed & Contact No.

Company: ___________________
Position: ____________________