Thursday, July 16, 2015

Sample Questionnaire: Product Safety Questionnaire

A product safety questionnaire is required by any company to finalize the safety measures of their product before reaching the market. The product may be developed by you but to check the safety precaution for the product you need to send the product to another team who are experts in analyzing the safety measures.

For example if you take a Smartphone manufactured from a large company should analyze many things before distributing in the market, safety precautions is one the most needed testing so that the customer are safe from accidents. All most every product manufactures should reverence the safety of the product before selling to customers. Below are few sample questionnaire format that would help companies get more information regarding the safety of the product.

Sample Produce Safety Questionnaire

Name of the department:
Product type:
Product model:
Use of the product:

Which age groups can use this product?
What is the product main purpose?
Is the metal used in product safe?
When the battery is heated the mobile should be safe?
Users should never be able to make a call or answer a call when the mobile is charging?
What exactly do you want our technical team to look into the product?
Do you want the smartphone screen to be a bit thicker?
Do you need two different slots for battery charging?
Do you want the mobile weight to be lighter?
Do you want to make the mobile water and dust proof?
Does the processor used currently support every high end game?
Can latest apps be run on the current processor?
Is the internal memory sufficient for normal usage?
Do you wish to add any of the new features that your competitors are using?

Sample Questionnaire: Interview Behavioral

A behavioral questionnaire is a set questions prepared by an interviewer to know more about the employee behavior toward work, coworkers and higher authorities. It’s a way to judge the candidate according to his behavior towards customer, as behavior is important aspect of any individual. The behavioral questions should be straight forward a bit different from the normal job interview questions.

This kind of questionnaire is mostly taken by companies that deal with customer, clients, vendors or even critical server management sectors. Most of the customer can only come back to you when you value them; the value is achieved through attitude, behavior, manners and patience. So when drafting a questionnaire make sure to prepare questions that are bit confusing but getting to know more how a candidate can handle pressure. Take a look at the few sample interview behavioral questions.

Sample Interview Behavioral Questionnaire:

Name of the employee:
Current work:
Mobile No:

What made you resign the previous job when you had a good salary?
Do you work for money or passion to work?
When there are plenty of jobs paying higher salaries, why did you choose customer support?
Have you ever handled irate customer? If yes, why do you think a customer get irated?
Have you solved any customer issues logically? If yes, let describe the incident?
You said you had to reach targets in previous job? How did you go ahead in achieving the goals?
Who would you face challenges in life?
Do you think risk is necessary aspect in customer support?
Have you ever made a mistake? How did you answer the manager and quality team when asked for an explanation?
Night shifts are toughest, how did you handle the stressful shifts?
What is your definition of pressure? Do you think pressure is a part of any job profile?
How do you personally handle pressure?
There are times when you don’t meet deadlines? How do you handle such kind of situations?
Have you ever had an issue with your team leader?
What was the best and worst feedback given by customer?
Do you prepare yourself well in advance before going to work place?
Do you raise high priority issues to your managers?
What really motivated you to work as customer support executive?
In case you don’t know the solution of an issue, do you research it yourself or head toward your boss?
What do you do when you don’t have call’s to answer customers?
In case of emergency your company doesn’t accept leave, what do you do in such situations?

Wednesday, July 15, 2015

Questionnaire: Life Insurance

A questionnaire on life insurance is a key element in getting the detailed info about an individual applying for life insurance in a private bank or public bank. Life insurance has got its own benefits has it cover your life, most of the private sectors cover life insurance for certain period of time. Every insurance company has its own way of dealing with life insurance, every company’s insurance plans and policies differ and it’s always good to have a questionnaire before the client applies for life insurance. Below are few sample questions that could help you understand what the client is actually looking for.

Sample Life Insurance Questionnaire:

Take personal details:

Name of the individual:
Date of Birth:
Marital status:
Educational Background:
Current Work Details:
Source of Income:
Type of Job:
Family Income (monthly):
Land Line:
Email ID:
Working company ID:
Social Security ID:
Birth Place:
Driver's License:
Permanent residence Card:

Do you have life insurance in other banks? If so which sector [Public] or [Private]?

Specify the bank names in which you have taken insurance?

How did you get to know about our bank and insurance?

As of now how many insurance policies you have?

If this is your first life insurance, how many lives do you want to insurance?

Do you have an idea about revocable and irrevocable beneficiaries?

Do any of your family members have insurance policies? If so what policies they have?

Do you know for how many years you need pay the premium amount?

Tuesday, July 7, 2015

Financial Needs Assessment Questionnaire

A financial needs assessment Questionnaire can help an agency or organization to get a snap shot of where the client is financially today. The questionnaire is designed by a financial specialist who helps client know where they are today and where they should be. The questionnaire contains questions regarding income protection, long term plans, investments, how to merge the gap and top objective priorities to reach the financial goal.

Every company does need to know who to prioritize there financial goals, it’s an assessment in evaluating the financial needs, barriers and resources. Go through the sample financial needs assessment questionnaire to get an idea of how to draft a new one to get best analysis for a client.

Sample Financial Needs Assessment Questionnaire:

Client Name:

What are your financial objectives?
What are your priorities in reaching the financial goals?
Do you have an insurance program for the business or family?
Do you have any personal savings?
What is your savings percentage towards your family?
Didn't you have any difficulties in savings money?
Where have you invested the money?
Did you receive the returns for the investments made?
How old is your business?
From when exactly did you start facing the financial problems?
Have you used any financial strategies to gain profits?
Have you reached the correct audiences in sharing your service or product?
Do you know about the financial benefit plans your business could get?
Have you taken any loans for business or family?
Who looks after your financial reports?
Right now, what are your top priorities?
Do you have any partners in this business?

Saturday, June 6, 2015

Sleep Apnea Questionnaire

Sleep apnea questionnaire is a form with a set of questions prepared by doctors or specialist to better understand the patient’s problem and to treat in an appropriate way.

Sleep apnea is a disorder where people suffer from less oxygen levels in the body and more level of carbon dioxide. This is mostly caused due to heave weight, the numbers of apnea cases have been increased from last 5 years, both males and females have been suffering with the problem.  Plenty of cases have been found in India, America and UK.  Sleep apnea has no medicine, doctors have had just one solution, they ask the patience’s to use anti-snore device. The no snore or anti-snore devices should be attached to the patience every night in sleep.

The common symptom of sleep apnea is, whenever you sleep you start to snore heavily, the mucus gets secreted in the throat and the intake of oxygen to the body is stopped, this makes the carbon dioxide stay in the body, causing damage to all organs. Firstly, all organs starts to bulge, kidney, lungs, and digestive track is affected. Very soon you will feel sleepy all the time and there are chances of stokes and brain tumor, as sufficient blood is not passed to the brain.

The causes are many, but apnea is caused by people who are overweight, bad food habits, and sleeplessness. The best way to treat apnea is to reduce weight natural way, eat a lot of boiled vegetables, reduce fried and oily food, take fruits like watermelon, papaya, cucumber and fiber foods. The best treatment is to take tulasi leaves (Ocimum tenuiflorum) every morning and yoga asana.

Sample Sleep Apnea Questionnaire

Are you feeling sleepy or dizzy all the time?
Do you have breathing problems?
Have you ever received chest pains?
Do you suffer from sudden headaches?
Are you habituated eating food outside?
How many times a day do you eat?
What do you like eating most?
What is your weight?
Do you have gastric trouble?
Do you take coffee every day?
How many hours do you sleep?
Do you snore a lot every night?
Do you wake up suddenly with insufficient oxygen?
Do you smoke alcoholic, tobacco?
Have you practiced any diet programs to reduce weight?
Do you have any other health problems, like BP, sugar, etc..?
Do you take pills every day for other health complications, if so how many do you take?

Sunday, May 24, 2015

Exit Interview Questionnaire

An exit interview is a questionnaire form that is prepared by HR department of a company that need to know the different reasons why an employee is resigning his job form certain department.  A exit interview template is very important for an HR department as monitoring and keeping track of reasons of exit is very crucial to retain the best employees.

Today's work environment is totally different and various from company to company. Employees exit or quit jobs for various reasons. Few employees have disputes with office managers and feel their treatment is not good. In some companies the work load is not organized and employees have to work over time and its hard for them to stay over nights.

Its the duty of the HR department to get hold of the reasons and take care to find solution to prevent employees from leaving. When employees exit rate is higher its a huge loss to the company as recruiting new ones, training them takes lot of time and business starts showing revenue. Its good studying case studies and preparing a exit interview questionnaire. Below are few questions.

Exit Interview Questionnaire Sample:

Employee’s Name:
Code No:
Job Title:
Employed from:

Reason for leaving the company?
Do you have any personal problems?
Are you not satisfied with the work environment?
Did you have any disputed with co-workers?
Is your boss showing discrimination between co-workers?
Can't you work in night shifts?
Are you not happy with the salary package?
Did you get an offer in another company?
Do you feel the work load is heavy?
Do you want to be relocated?
Do you have any issues with management?
Do you have problem with salary hike?
Do you feel with such experience you should have been in higher position?
Do you feel if the problem is resolved you can work back in our company?
Do you have issues with any particular department?

Monday, May 18, 2015

Health Status Questionnaire Sample

Health status questionnaire can be used by any one and it mainly helps doctors, physicians or training couches to get an idea on how your physically and mentally placed.

A health status questionnaire can give you a valuable information about health, which can help others in evaluating you condition and know how to treat. The questionnaire form should consists of questions related to physical state, emotional state, stress evaluation and quality of life.

These kind of questionnaires can be very helpful for any individual who wants to know about himself. You can certainly make changes to your lifestyle you can answers the questions seriously and help get an answer. You can be good physically but lack confidence mentally. There are many who have issues with stress, answering such questionnaires can help you get an idea on how to reduce. We are living in a world where we can't avoid few things but we have a chance to reduce.

Below are few sample health status questionnaires that can help you.

Sample Health Status Questionnaire 

What kind of physical health problems you have?
Did you have any fractures in the body?
Do you feel pain in any parts of the body?
Do you often get clod and flu?
Do you have skin problem?
How often do you feel to drink water?
Do you get panicked for simple plans like headache?
Do you use pain killers to reduce the pain?
Do you often show disinterest in the work you do?
Do you get negative thoughts?
Do you people other beside you greater?
Do have feeling of EGO, jealous?
Do you get annoyed for no reason?
Do you yell at any one whom you think are not listening to you?
Do you love to be lonely?
Do keep talking to your self before doing an act?
Do you take your own decisions or follow the same as all?
Do you have any sleeping problems?
Do you love taking part in social activities?
Are you a spiritual person?
Do you share every thing with your family?
Have you tried improving your health life style?
Do you practice natural methods?
Do you crack jokes and try to keep every one happy?