Workplace Neurodiversity Checklist Form

Workplace Neurodiversity Checklist Form
Use this form to identify workplace needs, preferred supports, and practical adjustments that may improve your day-to-day work.
Your role or context
Which of the following communication supports would be helpful for you? (Select all that apply)
Other
Sensory or environmental preferences (Select all that apply)
Other
Routine and organization supports (Select all that apply)
Other
Focus and task support needs (Select all that apply)
Other
Meeting preferences (Select all that apply)
Other
Accessibility or accommodation requests (Select all that apply)
Other

Priority of support areas

Rows	Not a priority	Somewhat important	High priority
Communication supports
Sensory/environmental needs
Routine/organization supports
Focus/task support
Meeting preferences
Accessibility/accommodation requests

Are there any other practical adjustments or supports that would help you at work?
Additional notes or comments (optional)
Should be Empty:

Select theme: