Workplace Health Screening Questionnaire

Thank you for taking the time to complete this short questionnaire.

At EPSA Health & Rehabilitation, we understand that every business — and every role — is different. By providing us with a clearer picture of your workforce and the demands of each position, this questionnaire helps us:

✅ Tailor pre-employment medicals to suit your specific roles
✅ Recommend the most relevant assessments for each position
✅ Ensure your screening aligns with WHS obligations
✅ Improve turnaround times and report accuracy
✅ Offer proactive support, including free onsite assessments to analyse role demands

Our goal is to make your hiring process safer, faster, and more compliant — while supporting the health and performance of your future team.

Let’s work together to build a workforce that’s fit for the job from Day One.

About You

Company Name:

Contact Person:

Role:

Phone:

Preferred Communication Method

Phone EmailGoogle Chat

Roles that Require Pre Employment Medicals

Other:

Testing Required

Employment status of individuals being assessed:

New employee(s)Current employee(s)Both

Annual / Periodic Health Surveillance

Audiometry (hearing)Spirometry (lung function)Drug & Alcohol screening (per company policy)

Other:

Do You Have Physical Demand Descriptions for Each Role?

Yes – We already have theseNo – But we’d like help creating themNo – Not sure if we need them

Thank You!

Thanks for taking the time to complete our Pre-Employment Medical Needs form — we really appreciate it.

Your responses give us a clearer picture of your business, your roles, and your workforce needs.

If you have any questions, feel free to reach out anytime — we're here to help!

— The EPSA Pre-Employment Medicals Team

P: 08 81862424

E: medicals@epsa.net.au

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