MACAS HOME CARE LLC
Candidate Interview Questionnaire Form
Full Name of Candidate
Position Applied for:
Date
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Month
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Day
Year
Date
Why did you choose to work in home care?
What specialties or interests do you have regarding home care?
At your previous job, how much of your time was spent on personal care?
Talk about a typical day at your previous workplace.
Describe your experience with elderly patients.
Describe the process for moving a patient from their wheelchair into a bed.
How do you keep your patient’s family informed about their progress?
How do you handle medical emergencies?
How do you maintain the privacy and dignity of your patients?
In what ways have you advocated for the wellbeing of your patients?
Describe a time when one of your patients refused care. How did you handle it?
Describe a time you resolved a conflict with your patient’s family. What was problem? What was the outcome? (Format as "Problem:" then "Outcome:")
Imagine that your shift has ended but that your replacement was fifteen minutes late. What would you do?
OFFICE USE ONLY !!! . Interviewer's Name
First Name
Last Name
OFFICE USE ONLY!!! Interviewer's Signature
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