Union Assessment Collection Form
Use this form to collect a structured union assessment, including respondent details, assessment ratings, and key findings for follow-up.
Respondent Details
Full Name
*
First Name
Last Name
Organization or Union Chapter Name
*
Job Title or Role
*
Email Address
*
example@example.com
Union Assessment Inputs
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessment Type
*
Member Engagement
Leadership
Communications
Operations
Training
Other
Overall Effectiveness Rating
*
1
2
3
4
5
Union Function Self-Assessment
*
Rows
Needs Improvement
Fair
Good
Excellent
Communication Clarity
1
2
3
4
Member Engagement
5
6
7
8
Meeting Effectiveness
9
10
11
12
Representation Support
13
14
15
16
Grievance Handling
17
18
19
20
Training and Resources
21
22
23
24
Findings and Next Steps
Top strengths observed
*
Key improvement areas
*
Priority next step or follow-up recommendation
*
Submit Union Assessment Collection Form
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