Self-Assessment

A self-assessment is a questionnaire that you fill out to explain the sort of work you think you can do now or in the future, and what support you might need to find and stay in work. We'll let you know if you need to complete one.

Who needs to complete a Self-Assessment

You may need to complete a Self-Assessment if you:

  • have a health condition or disability that affects your ability to work
  • need support or services to help you prepare for, find and stay in work.

You won't need to complete a Self-Assessment if you've got either:

  • a job to return to within 13 weeks of when you applied for a benefit
  • a medical certificate or other appropriate assessments which tells us that you:
    • are more than 27 weeks pregnant
    • are totally blind
    • have a terminal illness
    • have a severe intellectual or cognitive impairment
    • have a condition which means you can no longer work and it's unlikely that this will change.

If you're unsure whether you need to complete one, contact us

  • Completing a Self-Assessment

    The Self-Assessment is available in different formats. Use the format that suits you best.

    You can ask someone else to help you complete the Self-Assessment, or your case manager can help you.

    When you meet with your case manager to discuss your Self-Assessment, you can use an interpreter. Contact us to arrange this.

  • Self-Assessment formats

    Paper form

    You can either:

    You'll need to bring this completed form with you when you meet with us.


    Easy Read

    You can read and answer the questions using the Easy Read version.

    Easy Read uses pictures and short sentences to make it easier for people with learning disabilities or English as a second language. You can either:


    New Zealand Sign Language

    You can watch a video of a person signing the Self-Assessment questions (Easy Read version). These videos aren't covered by Cheap as data

    You then need to either:

    • answer the questions using one of the other formats,
    • call us to arrange a sign language translator for when you meet with your case manager.

    Large print

    Please contact us to ask for this.


    Braille

    We can arrange for a copy of the Self-Assessment in braille to be sent to you.

    Please contact us to ask for this.


    Audio

    You can listen to someone reading the Self-Assessment form. You'll then need to either:

    • answer the questions using one of the other formats
    • ask your case manager to help you answer it.

linksContact us

Contact us for more information.