Line Manager Pre-Assessment Form

Your answers to the below questions help give us some contextual information to deliver a workplace needs assessment and report.

If you are unsure on how to answer any of the questions, or would like some guidance, then please get in touch by emailing [email protected] or call 0113 873 0770 and we can assist you with this.   

Please be aware that any information you provide in this pre-assessment form may be discussed with your employee or used in the final report.

It is quite common for there to be information you think is important to share, but you do not want disclosed to your employee or included in the final report, and we are happy to accommodate this, but please ensure you clearly indicate which information should not be disclosed or included in the report.  

Please contact us if you require this form in an alternative format. 

Your details

Name(Required)

Employee details

Employee name(Required)
Max. file size: 2 GB.

Employee performance

Please select any areas of perceived difficulty apply to your employee:

Support information

Other information

Signature

DD slash MM slash YYYY
Clear Signature