1. JOB QUESTIONNAIRE Ref.MS-JQ-010/01-008
Name of Job Holder: Employee No.
Cost Center Location
Job Title Job Title of Immediate Supervisor/Manager
Instructions
The purpose of this questionnaire is to revise the existing job description or to create a new one. By
completing this questionnaire, the HR department will analyze this information, draft a proposed job
description and send it to the concerned department manager for final review & approval.
Please keep the following points in mind as you complete this questionnaire:
• Respond to the items thoughtfully and completely so that someone not familiar with your job can get
a clear idea of what it involves.
• Avoid using jargon, acronyms or abbreviations.
• Focus on the job itself not your performance. The purpose is Job analysis not Job Holder.
• Describe your job as it presently exists, not as it was in the past or as it might be in the future
When you have completed the questionnaire, print it and if its possible discuss it with your immediate
supervisor / manager for his/ her review. This will give both of you the opportunity to discuss the
questionnaire before signing and returning it to HRD.
Thank you for taking the time to complete this questionnaire. If you have any question or concern please feel
free to contact HRD.
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2. JOB QUESTIONNAIRE Ref.MS-JQ-010/01-008
Section 1 Major Duties
In order of importance, list your major job duties.
1.
2.
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20.
Section 2 Position Related Experience & Education
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3. JOB QUESTIONNAIRE Ref.MS-JQ-010/01-008
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
Section 3 Scope of Responsibility
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4. JOB QUESTIONNAIRE Ref.MS-JQ-010/01-008
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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5. JOB QUESTIONNAIRE Ref.MS-JQ-010/01-008
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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6. JOB QUESTIONNAIRE Ref.MS-JQ-010/01-008
Signature & Date Signature & Date
Once again, thank you for completing the job profile questionnaire. Please return it to HRD.
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