JOB QUESTIONNAIRE

Name of Job Holder: Employee No.

Department Location
Job Title Job Title of Immediate Supervisor/Manager
Reporting to Types of Position

Section 1 Major Duties

In order of importance, list your major job duties.

1.

2.
3.

4.

5.

6.

7.

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Section 2 Position Related Experience & Education

Check the minimum level of education a person is required to have in order to perform your job
(not necessarily your education level).

High School
 Bachelor’s degree
 Master’s degree
 Doctoral ’s Degree
Other (e.g. training, certifications) please specify:

List the preferred (but not required) level of education or training.

Indicate the minimum total number of years of experience in your field that is required to do your
job. This may or may not equate to your personal experience level.

No experience (i.e., capable person could quickly learn to do this job)

Up to & including 6 months
More than 6 months up to 2 years
More than 2 years up to 5 years
More than 5 years up to 10 years
More than 10 years

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Section 3 Scope of Responsibility

This question measures the managerial responsibility (direct and indirect) for achieving results
through people. Check the single statement that best describes your job.

No supervisory or lead responsibility

Responsible for up to 5 person

Responsible for 5 to 10 person


Responsible for 11 to 25 person


Direct supervision over a department, involving responsibility for result in term of
budget management, methods of work, policy development and personnel issues.

Section 4 Organizational Relationships

Please fill in the chart below as it applies to your job. Start with your job (shaded) and then
complete the other jobs.

Next Management Level Name

Title

Immediate supervisor/ Manager Name

Title

Your Job Name

Title

List the job titles directly report Title & No

to you and indicate the number Title & No
of employees in each job Title & No
Title & No.

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Section 5 Work Environment

Identify your normal work environment; mark all that apply.
Office environment
Heavy lifting
Loud noise


Health and Safety hazards

Other( specify) 
Section 6 Employees Comments
In the space below, please provide any additional information that is significant to your job.

Job Holder Name: Manager/Supervisor Name

Employee No

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REQUIRED JOB COMPETENCIES (Technical and Soft Skills)

S# Competency Criticality (High / Low / Medium)
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9.
10.

Signature & Date Signature & Date

Once again, thank you for completing the job profile questionnaire.