CMA Interview Questionnaire Form

Certified Medical Assistant

New Hire Questionaire
Personal Information
Full Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Questions and Details
You must be available to work Saturdays, will this be an issue? If so, why?*
For this position, you will need to be available to cover three locations as needed. Do you have adequate transportation to do so?*
Describe yourself in few words.*
This is a high-paced work environment. How do you deal with and work through stressful situations?*
What are your major skills regarding the job, you have applied for? What skills can you contribute to Complete Dermatology?*
Why did you leave your previous job?*
What was your relationship like with your colleagues at any of your previous places of employment?*
In your own words, if I were to call one of your references how do you think they describe you as an employee?*
What were your daily functions at your previous place of employment?*
What is your preferred salary or hourly pay rate?*
What matters most to you in a job?*
What are your preferred work days and hours? Although most times our last patient is scheduled at 4:30 pm, if the case is a difficult one it could run a little longer. Given we are a medical facility, we do not rush patient care. *
What is the most attractive feature of this job profile? Why Dermatology?*
Why do you want to join our organization? What expressed your interest in Complete Dermatology?*
What are you looking for in your next career? What does your job future look like?*
Where do you see yourself in the next 3-5 years?*
What is your educational qualification? Are you currently certified as a medical assistant? If not, are you willing to get (re)certified within the first 6 months of employment with Complete Dermatology?*
Are you vaccinated, including your booster?*
Anytime you start something new, regardless if it’s general dermatology related or not, you’re bound to make mistakes but it’s my job as a manager to provide you adequate training and support. It’s also my job to provide you feedback. How do you take feedback if I had to bring up a situation with you?*
Date*

MonthDayYear
Date
Please verify that you are human*
Upload Resume Here

Cancelof
Should be Empty:

Certified Medical Assistant

Personal Information

Questions and Details