Employee Adoption Assessment Form
Use this form to assess employee adoption of a workplace tool or process and identify support needs.
Employee Context
Full Name
*
First Name
Middle Name
Last Name
Department / Team
*
Job Role / Title
*
Primary Tool / Process Being Assessed
*
Adoption Assessment
Overall adoption level
*
Fully adopted
Mostly adopted
Partially adopted
Just starting
Not adopted yet
Confidence in using the tool or process
*
1
2
3
4
5
Key adoption behaviors
*
Rows
Never
Rarely
Sometimes
Often
Always
Frequency of use
1
2
3
4
5
Ease of use
6
7
8
9
10
Reliance on support
11
12
13
14
15
Biggest blocker or challenge
Action Plan and Submission
What training or support do you need next?
*
Hands-on training
Guided walkthrough
Reference materials
Peer support
Manager check-in
Other
What would help increase your adoption?
Final comments
Submit Assessment
Should be Empty: