Pre-Interview Questionnaire Inspector Pre-Interview Questionnaire Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Phone*Do you have any prior Home Inspection experience?* Yes No If Yes, Describe Your Experience and CertificationsOur ladders are OSHA rated for a maximum of 250 pounds. Can you use our ladders?* Yes No Are you OK with being on a high roof?* Yes No Inspecting attics and crawlspaces can often leave an inspector dirty at the end of the day. Are you OK with that?* Yes No Inspecting attics and crawlspaces may be cramped. Are you OK with tight spaces?* Yes No Attics and crawlspaces may contain spiders or rodents. Would you be ok with entering such attics and crawlspaces?* Yes No Home Inspections require partially working outside year around, including in the rain and in triple digit heat. Are you willing to do work in these conditions?* Yes No Ladders, tools, and equipment may weigh up to 50 pounds. Are you capable of lifting 50 pounds?* Yes, I can lift up 50 pounds No, I can not lift up to 50 pounds Home Inspections can be physically demanding (ladders, roofs, attics, crawlspaces, squatting, walking, lifting hatches above your head, etc). Are you OK with physically demanding work?* Yes, I am able and willing to perform physically demanding work No, I am NOT able and/or willing to perform physically demanding work Are you willing to work 5 days a week including some weekends* Yes No Are you proficient with touch phones, tablets, and computers?* Yes No Some what Do you have a clean driving record?* Yes, I have a clean driving record No, I do not have a clean driving record Can you pass a criminal background check?* Yes No Are you proficient in reading, speaking and writing in English?* Yes No Some what proficient Do you happen to speak a 2nd language?* Yes No If yes, what language(s)? Wearing a respirator is required to safely enter attics and crawlspaces. In addition, inspectors may be entring homes with allergens, pets, dander, excessive dust, etc. Are you capable of performing such duties?* Yes No Maybe What appeals to you about home inspections?*How well do you deal with difficult people? Please explain.*What is your biggest strength?*What is your biggest weakness?*Are you looking for a career in Home Inspection?*What are your long term professional goals?*You get a call from an angry client who says you missed that the air conditioner does not work, and wants you to pay for it. How do you handle the situation?*Describe what you see in the above photo.*Consent* I agree the above is correct and true to best of my ability
