Thank you for filling the form.
Entries limit is exceeded! Please contact your administrator.
"Sorry! User can't post a new entry"
Space limit is exceeded! Please contact your administrator.
"Sorry! User can't post a new entry"
Plan is expired! Please contact your administrator.
"Sorry! User can't post a new entry"
Remote Work Readiness Evaluation Form
Please fill the form carefully
1
Step 1
2
Step 2
3
Step 3
4
Step 4
Personal Characteristics
*
Which one applies the most regarding your relationship with your co-workers:
I like spending time with them both during work time and after work hours
I prefer keeping things friendly but professional
I avoid communication as much as possible
This field is required.Please enter value
*
When you face an issue regarding your work which method you prefer the most:
I talk directly with my boss/colleagues and try to find a solution together
I prefer to report the issue via email & wait for input from others on how to tackle it
I take initiative and handle the problem on my own
This field is required.Please enter value
*
When something unexpected happens which one applies you the most:
I get easily distracted
I can easily refocus on my job
This field is required.Please enter value
Please rate yourself when it comes to your productivity:
This field is required.Please enter value
Please rate yourself when it comes to your productivity:
This field is required.Please enter value
Please rate your happiness spending long periods of time on your own:
This field is required.Please enter value
In which of these conditions you get most of the work done:
When micromanaged within a pre-set working structure
When left alone and managing my time by myself
This field is required.Please enter value
Next
How do you feel working with a computer tracking system:
This field is required.Please enter value
How do you feel yourself regarding technology and software:
It is hard for me to pick up new things
It is easy for me to adapt new programs and systems
This field is required.Please enter value
Please rate from 1 to 5 if you are comfortable communicating with your colleagues via email, chat, videoconference, etc. instead of face to face:
This field is required.Please enter value
Please describe how remote working will affect your work-life balance:
This field is required.Please enter value
Physical Conditions
Which of the following you don't have in your home:
Table
Chair
Computer
This field is required.Please enter value
Do you have a space at home where you can work uninterrupted during business hours:
True
False
This field is required.Please enter value
Do you have internet at home:
Yes
No
This field is required.Please enter value
Do you need help taking your hardware home:
Yes
No
This field is required.Please enter value
Next
Previous
Contact Information
Full Name:
First Name
Last Name
This field is required.Please enter value
This field is required.Please enter value
Email id:
This field is required.Please enter value
Please enter valid email address
Mobile No:
This field is required.Please enter value
Invalid phone number.
The value must be less than or equal to 20
Address:
Address Line1
Address Line2
Land Mark
City
State
Country
Please select country name
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
St Kitts & Nevis
St Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
This field is required.Please enter value
Zip Code
This field is required.Please enter value
Title:
This field is required.Please enter value
Department:
This field is required.Please enter value
Next
Previous
Emergency Contact Information
Full Name:
First Name
Last Name
This field is required.Please enter value
This field is required.Please enter value
Relationship:
This field is required.Please enter value
Email id:
This field is required.Please enter value
Please enter valid email address
Mobile No:
This field is required.Please enter value
Invalid phone number.
The value must be less than or equal to 20
Address:
Address Line1
Address Line2
Land Mark
City
State
Country
Please select country name
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
St Kitts & Nevis
St Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
This field is required.Please enter value
Zip Code
This field is required.Please enter value
Signature:
This field is required.Please enter value
Previous
Submit