Productivity Assessment Form

Productivity Assessment
Thanks for taking the time to assess your productivity. Completing this will help you to identify areas for focus to enhance your success.
Feedback
Let’s get your results so that I can help you to identify opportunities! Complete the below and I will send your outcome personally to your email.
Name
Email
example@example.com
Instructions
To complete this assessment, answer each question by clicking in one option per question. Move to each page and click SUBMIT at the end.
Environment
Your environment directly impacts your productivity.

	Never	Sometimes	Regularly	Frequently	Always
I keep the items on my workspace to only what I need.	2	3	4	5	6
I clean my workspace.	7	8	9	10	11
My workspace chair and desk are at the right settings for me.	12	13	14	15	16
My working environment is clean with natural light and air circulation	17	18	19	20	21

	Never	Sometimes	Regularly	Frequently	Always
I forward plan to deadlines and know if they need to be moved.	23	24	25	26	27
I complete my daily objectives.	28	29	30	31	32
I have long term goals and plan my day to achieving them	33	34	35	36	37
I know before I start my day what I need to achieve.	38	39	40	41	42

	Never	Sometimes	Regularly	Frequently	Always
I complete my tasks within the identified time period.	44	45	46	47	48
I utilise my tools to benefit my objectives for the day.	49	50	51	52	53
I find a solution instead of sitting in procrastination if there is a block to the goal.	54	55	56	57	58
I can block out distractions to complete my daily tasks.	59	60	61	62	63

	Never	Sometimes	Regularly	Frequently	Always
I am able to self motivate.	65	66	67	68	69
I am empowered to make decisions without feeling like I need to ask someone.	70	71	72	73	74
I can move into new tasks without losing focus.	75	76	77	78	79
I am able to work faster without increasing errors if I need to.	80	81	82	83	84
I am able to work faster without increasing errors if I need to.	85	86	87	88	89