ANUPAM

JOB DESCRIPTION QUESTIONNAIRE

&
PERFORMANCE ASSESSMENT
ANUPAM
Human Resources

NAME
JOB TITLE
DEPARTMENT
EMP_CODE
Human Resources

____________________
____________________
___________________
____________________

DATE
WORK MOBILE
SUPERVISOR
LOCATION

____________________
____________________
____________________
____________________
2014

ANUPAM

JOB DESCRIPTION QUESTIONNAIRE

JOB DESCRIPTION QUESTIONNAIRE

The purpose of completing this JOB DESCRIPTION QUESTIONNAIRE is to enable the

Human Resources to prepare or update a job description and to evaluate if the job is
as per organizational structure and requirement. You are the best information source
about your own job. It may have existed for many years, but it certainly has changed
to some degree from the last time it was evaluated.
For filling this form consider how your work relates to other employees
responsibilities in your department, to Departments and to the Vendors / Clients. You
and your supervisor may wish to work together to identify the most important
responsibilities of your job.
As you complete the Questionnaire, reflect on the following:

The purpose of your job

External contacts

The impact your job has on the

ability of other employees

The major tasks of your position

The regular, repetitive duties you

perform and their importance

How your work supports other

departments
How other departments support
your work
Decisions you make and their
impact on the department and the
company.
The impact your job has on Anupam
and your department

When you have completed the Questionnaire, please return it to your supervisor for
signature.
Thank you

Amit Goyal
(Head Human Resources)
Human Resources

2014

ANUPAM

- JOB DESCRIPTION QUESTIONNAIRE

Section A
1.

What is the purpose of your job? Summarize in 25-to-35 words and check

(Your Age -

2.

Date of Birth -

What are the 4 7 key activities/responsibilities of your job?

Approximately what percent of time, averaged over the course of the
week, do you spend on achieving this responsibility?
Key Activities/Responsibility

Percent of Time
(in %age)

1.
2.
3.
4.
5.
6.

Human Resources

2014

ANUPAM

- JOB DESCRIPTION QUESTIONNAIRE

3. How do you make decisions in your job?

Circle one of the following four words or phrases shown in boldface type
Prescribed, Precedents, Not Covered, or Highly Complex that describes
how you make decisions most of the time.
Prescribed

Follow prescribed paths, with routine steps that do not require

changing.
Precedents
Respond to commonly occurring problems/situations for which
standards, procedures or precedents exist.
Not Covered Respond to unusual or varied situations that are not covered
by existing standards, procedures and precedents.
Highly Complex
Respond to highly complex situations that require
demanding problem-solving abilities.

4.

List the professional and/or technical competencies/ Skills needed when

performing the key responsibilities of your job.

Record the knowledge and skills you must possess and demonstrate to perform the
key job responsibilities you recorded in item # 2. Include the level of proficiency
(trainee, fully competent, expert) needed in the job. Note the equipment or tools
you use.
Record only what you believe is necessary to perform the key
responsibilities. You personally may have competencies that exceed those required.
1.
2.
3.
4.

5.

List the minimum and desired education including degrees, licenses,

certifications or registrations and experience needed to perform the
key responsibilities of your job.

Minimum - what a person starting this job must possess, and Desired - the niceto-have

Human Resources

2014

ANUPAM

- JOB DESCRIPTION QUESTIONNAIRE

Separate your own education and experience from what are required to perform the
key responsibilities;
You may have more education and experience than those required.

Minimum
Education
___________________
Experience

______________________
______________________

Desired
__
__ ___________________________
___________________________

Press Enter to add more space

6.

From the following list, circle one category most applicable to your job.
If you select Analytical, check the appropriate subcategory and record
the area of expertise.

Office Administrative
jobs
Analytical

Technical

Process information and assist others in carrying out their

Apply
advanced
knowledge
in
field
and
recommend action
Area of expertise __________________________________, or
Perform work requiring invention, imagination, originality or talent
in a recognized field of artistic or creative endeavors
Area of expertise __________________________________, or
Perform office work directly related to the management or general
business operations and includes independent judgment on
matters of significance, or
Perform systems analysis, system or program design, or machineoperating system design, testing, creation or combination of duties
of similar skill levels
Perform hands-on tasks, primarily using trade or
computer hardware and software skills other than spreadsheet,
database and data processing

Sales or Marketing Encourage people to enroll; market or relate the company to

others
Coordinating

Implement or serve as liaison for one or more programs or

activities or Departments

Supervisory

Direct and manage the time and work of at least two others,
with responsibility for personnel decisions, including hiring, firing,
promotions, etc.

Human Resources

2014

ANUPAM

7.

- JOB DESCRIPTION QUESTIONNAIRE

How many employees do you supervise?

____ Directly
=
you are responsible for most, if not all, the items in #6, above
_____ Indirectly =
you may direct the work of or be responsible for the work
product of others
Check () one or more of the following for which you are the decision-maker,
including decisions that also must be approved by the next level of management.
Hire /fire
Discipline
Promote

Approve time of
Approve work and work product of others
Set departmental policies

Section B
JOB ACTIVITIES:
Think about how you spend your work time. List the regular on-going activities
required of your job. Please list these activities in general order of importance. Include
only enough detail to identify the task. Note the approximate amount of time required
for each task in the right hand column.
Note your time estimates as a percentage of total work time.

S.
no
1

Activity

Percentage of time

2
3
4
5
6
7
Human Resources

2014

ANUPAM

- JOB DESCRIPTION QUESTIONNAIRE

INFREQUENT TASKS:
Please list those infrequent tasks or projects your job is sometimes required to do or
have been assigned by Management.
Please note the approximate total time required to accomplish each infrequent task or
project.
S.
no
1

Activity

Percentage
of time

2
3
4
5
6
7

WHAT SPECIAL TOOLS, EQUIPMENT, OR TRAINING DO YOU USE TO

ACCOMPLISH YOUR JOB?
Your job probably requires that you use certain tools, equipment, or systems, inclusive
of office/plant machines, software, vehicles, or other specific items. Please list any
special tools, equipment, or software you use to accomplish the requirements of your
job.
Software

Equipment

Special Tools

Human Resources

2014

ANUPAM

- JOB DESCRIPTION QUESTIONNAIRE

RESPONSIBILITY FOR A SPECIFIC FUNCTION?

Do you have a clear-cut responsibility for developing and/or administering a program
or major function essential to the operation of the organization? If YES, please explain
your role and level of responsibility in that specific area.

YOUR JOBS IMPACT ON OVERALL OPERATIONS:

Are you a supervisor or group leader? ________ Yes ________ No IF YES, what SPECIFIC
DEPARTMENT OR AREA do you manage and HOW MANY PEOPLE do you oversee?

NATURE OF WORK:
EFFORT LEVEL:
WORK LOCATION AND SCHEDULE:
Guidance Available Is ADMINISTRATIVE GUIDANCE readily available (even if not
required)? Explain:

OPPORTUNITY FOR ADVANCEMENT What is the LOGICAL GROWTH PATH or

PROMOTIONAL PROGRESSION for your job?
Human Resources

2014

ANUPAM

- JOB DESCRIPTION QUESTIONNAIRE

What are the prospects of your attaining the next step? What training or skills would
be required for you to be promoted?

How would you rate the EFFORT required to do this job? Give specific examples of the
following judgments?

PHYSICAL EFFORTS:

MENTAL STRAIN/STRESS:

Human Resources

2014

ANUPAM

- JOB DESCRIPTION QUESTIONNAIRE

Do you work odd hours, much overtime, or travel in order to perform your job? Give
specific examples of your work and/or travel schedule:

Human Resources

2014

ANUPAM

- JOB DESCRIPTION QUESTIONNAIRE

Section 1 : KEY RESPONSIBILITY AREA based REVIEW {Weightage 70%}

Please mention your KEY RESPONSIBILITY AREAS that has made a

positive impact to your area of work/ organization: (You may pick-up
points in relation to your work area from above mentioned point no. 2 under Section-A, and from Job
Activities mentioned under Section-B); The total percentage given by HOD will be multiplied by 70%
weightage, which will result in actual score.

Sl.
No.

Key Activities/ Responsibilities

Target/
Measures

Achiev
ed
% age

Self
Review
% age

HOD
Review
% age

Human Resources

Total Score achieved

2014

ANUPAM

- JOB DESCRIPTION QUESTIONNAIRE

Section 2 : COMPETENCY/ SKILLS / PERSONAL ATTRIBUTES based REVIEW

{Weightage 30%}
Rate the appraisee on the following behavioral traits (1 - Not at all, 2 - To some extent, 3 - To a very great
extent)
INTERPERSONAL & WORKING RELATIONSHIP
1
2
Interfaces effectively
with customers and coworkers

Recognizes strengths
and limitations of self &
others

Handles problem &

situation effectively

Exhibits appropriate
ATTITUDE
sensitivity
to
others

INITIATIVE AND RESOURCEFULLNESS

1

Displays
behavior

Demonstrates
a
self-starter attitude

Makes
practical,
workable
suggestions
for improvements

Displays
WORK
HABITS / ATTENDANCE
competence
of working & PUNCTUALITY
2
1

Offers
willingly

assistance

Is
punctual
attendance

Makes
a
positive
contribution to morale &
shows pride in work

Manages
schedule

Shows sensitivity to
and consideration for
others feelings

Prioritizes Work
Meets Deadlines

Stays as late as
necessary
(within
reason)
to
complete

Accepts constructive

TEAM WORK

Able
to
adjust
(Mingles) well with team
/
clients
without
deviating from business
policies
Help others during
crisis period
Trains / Teaches /
Shares knowledge with
peers
as
and
when
required voluntarily

proactive

on
work
/

RELIABILITY & RESPONSIVE SERVICE TO INTERNAL

1
& EXTERNAL CUSTOMERS
2
3

Actively look for ways

to
improve
customer
satisfaction
Always
keep
the
customers need in mind
when
developing
and
implementing plans and
priorities
Works to retain /
satisfy
present
customers and look for

Score
achieved
{ percentage
____ x
The score for each of the Attribute is calculated byTotal
multiplying
the
weightage =
into
achieved (Total Score Achieved x weightage 30 % = Total Score.
The overall score is then compiled by summing up the scores for the points achieved through
KRA and Attribute.
The overall finalized score for each individual in the function will then ranked and compared
for normalization. The normalization process for finalizing the rating will be based on the
achievement score and behavioral indicators as exhibited by the individual as defined in the
rating definition sheet.

Name, Date & Signature of Employee

HOD
Human Resources

Name, Date & Signature of

2014