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Personal Information

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First Name

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Year of Birth (optional)

Address (optional)

City (optional)

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Province/Territory (optional)

Education (optional)

Employment Status (optional)

What best describes your current role?

In your job, do you have responsibility for any of the following (check all that apply)? (optional)

Human Resources (HR)

Employee health and wellness

Disability management

Occupational health and safety

Organizational development

Education and training

Employee and Family Assistance Program

None of the above

How many people do you manage, support or lead (including employees, volunteers, students, interns, consultants)? (optional)

Number of employees in your organization, including leaders (optional)

Are you a member of a union or federation? (optional)

Do you work in the private sector or the public sector? (optional)

Is your company/employer a for-profit or not-for-profit organization? (optional)

Please select the one option that best describes the industry sector category of your work organization/employer (optional)

Please indicate if this is the first time you are using the Psychologically Safe Leader Assessment: (optional)