Peer Workforce Program Initial Assessment

Supportive Services Screening & Needs Assessment Tool

This assessment helps us understand what supports you may need throughout your time in the Peer Workforce Program. There are no wrong answers. Your responses help us connect you with helpful services and accommodations.

Some questions may ask about personal challenges or support needs. You can skip any you don’t feel comfortable answering.

This form should take about 35–45 minutes to complete and you will not be able to save and resume later. But you can skip any section that may not apply to you.

Instructions:

Review each area and mark whether you currently need support. Use follow-up notes to capture details and as that will be used to build a tailored service plan.