SATI

Deriv.
com
Self-Assessment Questionnaire
Name:
Email Address:
Telephone/Skype:
Nationality:
Present Location:
Current date:
COLLEGE/UNIVERSITY
Name & Location:
Dates Attended:
Major:
Grade:
Why did you select this

school?
Generally, what were

your college years like?
How would you

describe your study
habits during college?
What were some

important career
influences?
What were the best and

worst times in your
college years?
What were your career

aspirations at the end
of college?
1
WORK HISTORY 1 – YOUR CURRENT OR MOST RECENT POSITION
Employer: Name: _______________________
Location: _______________________
Your Position Title:
Dates: Start: ____________________ (month, year)
End: ____________________ (month, year)
Type of Business:
Salary: Starting: _____________
Ending: ______________
How did you find this

job?
(advert/headhunter/etc)
Job Duties and

Responsibilities
Career Successes /
Accomplishments:
Failures / Errors:
What did you like most, Most:

and least, about this
job? Least:
What is the biggest

impact you had at this
organisation?
Reason for leaving or

desiring to change:
Name & Title of Your

Supervisor:
Permission to Contact?  Yes  No Tel/Email:
WORK HISTORY 2 – YOUR PREVIOUS POSITION

Employer: Name: _______________________
Location: _______________________
Dates: Start: ____________________ (month, year)
End: ____________________ (month, year)
Type of Business:
2
Ending: ______________

job?
Job Duties and

Responsibilities
Career Successes /
Accomplishments:
Failures / Errors:

and least, about your
job? Least:
What is the biggest

organisation?
Reason for Leaving

Supervisor:
WORK HISTORY 3 – YOUR PREVIOUS POSITION
Employer: Name: _______________________
Location: _______________________
Dates of Employment: Start: ____________________ (day, month, year)
End: ____________________ (day, month, year)
Type of Business:
Ending: ______________

job?
Job Duties and

Responsibilities:
3
Career Successes /
Accomplishments:
Failures / Errors:

and least, about your
job? Least:
What is the biggest

organisation?
Reason for Leaving:

Supervisor:
PLANS AND GOALS FOR THE FUTURE

What are you looking for
in your next job?
What are some other job

possibilities, and how do
you feel about each one?
What about 5 or 10 years

down the road; where do
you want to be, career-
wise?
What do you view as the

possible advantages and
disadvantages of joining
us?
If you joined us, when

could you start?
4
INTELLECTUAL CHARACTERISTICS
What are a couple of the
best and worst decisions
you made in the past year?
What maxims do you live

by, or is there a code or
system you try to follow in
life?
How creative are you?

What is the best example
of your creativity?
PERSONAL CHARACTERISTICS
What motivates you?
How many hours per week

have you worked, on
average, during the past
year?
Describe the pace at which

you work – slow,
moderate, or fast?
After you leave the office,

do you still think about
work and answer Email, or
do you relax to ensure a
good work/life balance?
Please explain.
In what specific ways have

you changed your
organization (in terms of
direction, results, or
policies)?
How would you describe

your work habits?
How organized are you;

what, if anything, do you
5
feel you could do to be
better organized?
Describe a situation that

didn’t go as well as you
planned. What would you
have done differently?
How much supervision do

you want or need?
What are the most

important lessons you
have learned in your
career (please be
specific)?
How do you handle

yourself under stress and
pressure?
Describe yourself in terms

of emotional control; what
sorts of things irritate you
the most, or get you
down?
How many times have you

“lost your cool” in the past
couple of months?
What sort of mood swings

do you experience – how
high are the highs, how
low are the lows, and why?
Describe a situation in
which you were angrier
than you’ve been in years.
How have you changed in

recent years?
What sorts of
organizational changes
have you found easiest
6
and most difficult to
accept?
Who was the best leader

or manager in all of your
previous jobs? What is it
about his or her behavior
that made you enjoy
working together?
Who was the best co-

worker in all of your
previous jobs? What is it
about his or her behavior
that made you enjoy
working together?
What changes in your

approach would you like to
make in your next job?
What actions would you

take in the first week,
should you join our
organization?
which the pressure to
compromise your integrity
was the strongest.
INTERPERSONAL RELATIONS
How would you rate
yourself in terms of
enthusiasm and charisma?

your level of
assertiveness?
which your negotiation
skills proved effective.
Describe the most difficult

person you’ve ever worked
7
with.
which you felt others were
wrong and you were right.
How aware are you of

political forces that could
affect your work
performance? Give an
example of the most
difficult political situation
in which you were
involved.
MISCELLANEOUS
Describe your ideal day at
work.
What are the biggest risks
you have taken in recent
years?
What skills have you

acquired in the last several
years?
[For relocation candidates only]
What experience do you

have (if any) with living
and working abroad? What
problems do you foresee?
[For relocation candidates only]
How many dependents

(spouse, children) would
relocate with you?
What business or
technical books have you
read that are relevant to
your job?
8
DERIV.COM
In as much detail as you
can, explain how you
believe Deriv.com's
business works.
What questions do you

have about the company
or the job you are
applying for?
MANAGEMENT
(to be completed by candidates for managerial/team-lead roles only)
your management
philosophy and style?
Do you believe a manager

should be hands-on or
hands-off?
What would your

subordinates say are your
strengths and
shortcomings as a
manager?
In what ways would you

modify your approach in
dealing with work
associates?
Please write a paragraph

about two (2) of your
direct reports in your most
recent job, indicating their
position titles, length of
service, strengths,
shortcomings, and overall
work performance.
9
10

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What is the purpose of the self-assessment questionnaire?

What is the purpose of the self-assessment questionnaire?

What types of work history and personal details does it ask for?

What types of work history and personal details does it ask for?

Deriv.

Why did you select this

Generally, what were

How would you

What were some

What were the best and

What were your career

How did you find this

Job Duties and

What did you like most, Most:

What is the biggest

Reason for leaving or

Name & Title of Your

WORK HISTORY 2 – YOUR PREVIOUS POSITION

How did you find this

Job Duties and

What did you like most, Most:

What is the biggest

Reason for Leaving

How did you find this

Job Duties and

What did you like most, Most:

What is the biggest

Reason for Leaving:

Name & Title of Your

PLANS AND GOALS FOR THE FUTURE

What are some other job

What about 5 or 10 years

What do you view as the

If you joined us, when

What maxims do you live

How creative are you?

How many hours per week

Describe the pace at which

After you leave the office,

In what specific ways have

How would you describe

How organized are you;

Describe a situation that

How much supervision do

What are the most

How do you handle

Describe yourself in terms

How many times have you

What sort of mood swings

How have you changed in

Who was the best leader

Who was the best co-

What changes in your

What actions would you

How would you describe

Describe the most difficult

How aware are you of

What skills have you