Washington State
Department of Services for the Blind

Name

Date

Counselor

Job Position

Rating Scale:

Needs

Improvement

Good

Excellent

1

2

3

4

5

Introduction

Dressed appropriately

1

2

3

4

5

Appeared clean and well groomed

1

2

3

4

5

Demonstrated professionalism

(No gum chewing, smoking, profanity, etc.)

1

2

3

4

5

Appeared relaxed and calm

1

2

3

4

5

Established rapport

(Appeared friendly, interested in the company, etc.)

1

2

3

4

5

Interview

Good posture, positive body language

1

2

3

4

5

Maintained appropriate eye contact

1

2

3

4

5

Prepared with resume, references, letters

1

2

3

4

5

Projected a positive attitude

1

2

3

4

5

Answered questions thoroughly

(Used examples to demonstrate ability)

1

2

3

4

5

Stayed focused

1

2

3

4

5

Asked questions

1

2

3

4

5

Projected enthusiasm and motivation

1

2

3

4

5

Closing

Thanked interviewer for their time

1

2

3

4

5

Made reference to the hiring process

1

2

3

4

5

Expressed interest in the position

1

2

3

4

5

Overall comments