Pre Employment Medical Questionnaire Template

A Pre employment medical questionnaire template is a ready to use document that helps to create a questionnaire on pre employment medical. These templates help to assess the medical conditions of an individual before he is being hired for a particular job,

“You can Download the Free Pre Employment Medical Questionnaire Template form, customize it according to your needs and Print. Pre Employment Medical Questionnaire Template is either in MS Word, Excel or in PDF.”

Sample Pre Employment Medical Questionnaire Template

Pre Employment Medical Questionnaire Template

Download Pre Employment Medical Questionnaire Template

Name________ Age______ Sex_______

Occupation_________

Address___________ Phone_________ Email_______

(This section shows the personal and contact details of the person.)

Questionnaire

(It is the main part of template for questions.)

  1. Are you presently taking any medical treatment for any health problem?
  1. Option 1.
  2. Option 2.
  1. Do you have any color blindness/eyesight related problem?
  1. Option 1.
  2. Option 2.
  3. Option 3.
  1. Have you been consider unfit in past for any job?
  1. Option 1.
  2. Option 2.
  1. In last 6 months, how many times you had been sick and took leave from work?
  1. Option 1.
  2. Option 2.
  3. Option 3.

Category: Questionnaire Templates

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