Pre Vocational Assessment Questionnaire Need help completing?1300 647 789 Pre Vocational Assessment Questionnaire PhoneThis field is for validation purposes and should be left unchanged.Name*Age*Contact Number*Email*Type of Injury*Date of Injury* Pre-Injury Employer*Pre-Injury Job*Pre-Injury Hours*Pre-Injury Wage*General Health and Compensable InjuryDo you have any injuries or disabilities that may affect your ability to work? If yes, please specify:*TreatmentAre you currently receiving any treatment? If yes, please provide the following details:*Type of TreatmentTreatment ProviderFrequency Are you currently taking any medication? If yes, please provide the following details:*Type of MedicationFrequency / DoseWhy has this been prescribed to you? TravelHow far are you willing to travel to get to and from work? (Please specify some of the suburbs that you consider most accessible to you for work)*Do you have access to transport to get to and from work?* Yes No If yes, please provide further details e.g., car, public transportEducational HistoryWhat level of secondary schooling did you complete?* Year 10 Year 12 Are you currently participating in or would like to start some retraining? If yes, please provide further details:*Please select which level you think you are at for each of the following (compared to others your age): English Speaking* Below Average Average Above Average English Reading* Below Average Average Above Average English Writing* Below Average Average Above Average Mathematic Skills* Below Average Average Above Average Computer Literacy* Below Average Average Above Average Keying/typing* Below Average Average Above Average Microsoft Word* Below Average Average Above Average Microsoft Excel* Below Average Average Above Average Internet Explorer* Below Average Average Above Average Email* Below Average Average Above Average Please list details of any other education/licences/certificates/tickets/qualifications you have completed. Please send a clear photo or scanned copy of all licences/certificates/tickets/qualifications via email one day before the assessment. (If more space required, please use additional blank paper).Date CompletedLicences/Certificates/ Tickets/QualificationsName of Training InstitutionWhat does this allow you to do? Work HistoryPlease list details of your employment history. Please send a clear photo or scanned copy of your resume (updated if possible) via email one day before the assessment. (If more space required, please use additional blank paper).*EmployerJob TitleDuration (Month/Year to Month/Year)DutiesReason for Leaving Do you have any other additional experience? (i.e., voluntary work, community involvement etc):*Transferable/Soft Skills Checklist (Skills which are general in nature, and which are used in many different jobs/industries)Please review the following lists and tick the transferable skills which you believe you possess.Key Skills Select All Rapport building Goal setting Multitasking Decision making Evaluate personal performance Assist new colleagues Setting realistic timeframes Self-motivated Self-disciplined Accountability Meet deadlines Time management Prioritising Adaptability Presenting a positive image of the organisation Punctuality Receiving positive/negative feedback Cope with setbacks/rejection Adhere to company policy Continue professional development/prioritise personal growth Communications Skills Select All Speaking Writing Reading Listening Report writing Reviewing Editing Proof reading Analysing Interpreting Clarifying Summarising Public speaking Presenting Documenting Document analysis Interviewing Persuading Negotiating Perceiving nonverbal cues Communicating effectively with people from diverse cultural backgrounds Speaking in languages other than English If you speak in languages other than English, please specify:Teamwork Skills Select All Contribute to the team goal Give general advice Display patience/sensitivity Provide support Embrace diversity Empower others Demonstrate emotional intelligence Display a cooperative attitude Motivate others Share credit Recognise the efforts of others Teaching/instructing Learn from others Administrative/Clerical Skills Select All Operating telephones Operating computers Managing calendars Scheduling events and activities Contingency planning Inducting new staff Scheduling appointments Organising equipment for staff Office maintenance Ordering office supplies Records and file management Client liaison Mail management Use office machinery such as printers Staff assistance Redirect staff and clients to the correct staff member Computer Skills - Computer Systems Select All Windows Mac Computer Skills - Basic Select All Data Entry Learn new technologies Troubleshoot basic issues Dial into telephone meetings Attend video meetings Print documents Scan documents Computer Skills - Advanced Select All Fast/accurate typing MYOB Network administration Develop software Install hard/ware software Troubleshoot complex issues Design/manage websites Explain technical processes Program/code Repair technology Write technical/instructional manuals Computer Skills - Outlook Select All Create emails Add recipients Aware of the difference between CC and BCC Send emails Attach documents Computer Skills - Word Select All Create a new document Save a document Edit a document Format a document Use spell check Insert images Copy and past information Add page numbers Change page orientation between portrait/landscape Add/edit a table Computer Skills - PowerPoint Select All Create/edit presentations Add slides Remove slides Insert images Add effects Computer Skills - Excel Select All Create/update spreadsheets Utilise formulas Sum or count cells Build a pivot tablet Create drop down lists of options in cells Sort lists of text Computer Skills - Adobe Select All Zoom in/out of a document Sign a document Add comments to a document Manufacturing/Warehousing/ Production Skills Select All Pick/pack Receiving Despatching Product recall Loading/unloading Inventory control Stock replenishment Stocktake Shrink wrapping Production line operation Conveyor belt operation RF scanning Purchasing Customer service Driving a forklift Meet key performance indicators Identify and report damages Comply with safety protocol Familiar with warehouse software e.g., SAP If you are familiar with warehouse software e.g., SAP, please specify:Management/Leadership Skills Select All Leading Managing Supervising Instructing Advising Facilitating meetings Conflict resolution Assertiveness Coaching/mentoring Providing positive and negative feedback Mediating Project coordination Building and maintaining morale Identifying the skills of others Goal setting for the business Reviewing progress Decision making Delegating Enforcing regulation Implementing procedures Change management Role modelling Problem solving Recruitment Quality control Critical thinking Human Relations Skills Select All Active listening Diplomatic Caregiving Patient Persuasive Pleasant Supportive Tactful Open minded Adaptable Honest Research and Planning Skills Select All Forecasting/predicting Identifying problems Developing alternatives Identifying resources Gathering information Extracting information Defining needs Analysing Developing analytical strategies Customer Service/ Marketing/Promotion/ Retail Industry Select All Customer service orientated Selling/promoting Problem solving Positive attitude Convincing Product knowledge Generating new business Identifying opportunities Meeting customer expectations Delivering services related to customer needs Obtaining sponsorships Leading fund raising efforts Establishing a network Setting key performance indicators Meeting/exceeding key performance indicators Complaints management Implement customer feedback Use of company specific Customer Relationship Management software If you have made use of company specific Customer Relationship Management software, please specify:Manual Labour/Building/Construction Industry Select All Assembling Constructing Repairing Inspecting Using simple equipment Using complex equipment Machine operation Safety conscious Following instructions Operating tools and machinery Servicing/fixing equipment Mechanically minded Driving a motor vehicle Driving a motor bike Driving a forklift Driving a truck Operating machinery e.g. excavator If you are able to drive a truck, please specify the class:If you can operate machinery e.g. excavator, please specify:Emergency Services/Security Industry Select All Report writing Dealing with sensitive matters Dealing with high-risk populations Dealing with the public Mental toughness Patrolling Monitoring Reviewing Managing public safety First aid and CPR knowledge Ability to work with adults and children Finance/Accounting Industry Select All Data analysis/investigation Auditing Maintain financial records Calculating/computing Classify data Compare/inspect Locate data/facts Count/compile Detail orientated Analytical thinking Payroll Cash management Budgeting for an organisation Use of accounting software e.g., MYOB or other software If you do make use of accounting software e.g., MYOB or other software, please specify:Creative Industry Select All Creativity Artistic Perceptual Research skills Budgeting Ability to identify the needs of the client Problem solving Decision making Planning Organising Presenting Performing Expressive Articulate Innovate Hard/Technical Skills (Skills which are gained from work/volunteer experience or training)Please add any industry specific skills which you possess that were not included in the above table:*Job Seeking SkillsDo you have access to a computer and the internet?* Yes No Do you have a current resume?* Yes No Are you confident applying for jobs independently?* Yes No Please tick whether you believe you would benefit from information / assistance / training in any of the following areas: Resume/cover letter development* Yes No Job seeking computer skills* Yes No How to talk about your injury to an employer* Yes No Information about programs that provide incentives to employers for employing injured workers* Yes No Different job seeking methods that can be used to obtain work* Yes No Interview Skills Training* Yes No Are there any other comments that you would like to make?Signed*Your NameYour NameYour NameYour NameDate*
