Application for Certification of Psyched Recognition Company Name Address Psyched Contact Person: I am: Employee Employer Manager HR / OH personnel Self-employed Contractor Other Number of Employees in your workplace Email Phone Number Website Category Public Service Small- Medium Enterprise Not for profit Multinational Other (Please specify) I understand what PSYCHED is about YES NO My/our organisation uses/ displays PSYCHED materials YES NO The Five Tips for Mental Health at Work posters are on display in my/our workplace YES NO The Five Tips for Mental Health at Work have been emailed to staff YES NO We have downloaded Psyched framework & worksheet YES NO I/we have attended PSYCHED workshops and/or events Introduction to Psyched Kindness Workshop Reflect & Engage Course What steps has your workplace taken to incorporate Psyched and promote mental health and wellbeing? Minimum 200 words and maximum 500 words I/we understand workplace stressors (psychosocial risks) YES NO My/our workplace has completed a risk assessment YES NO I/we are aware of workpositive.ie YES NO I feel able to speak to my employer/manager about any issues or concerns I may have YES NO I feel able to speak to my employee about any issues or concerns I may have YES NO It is possible to have open discussion about workplace issues or challenges in my workplace YES NO There is an openness to optimise work patterns and work life balance as much as possible in my workplace YES NO I/we have considered workplace stressors from multiple perspectives such as (tick where applicable): Employee Employer Manager HR / OH personnel Self-employment Contractor How are you protecting your staff? Please briefly outline what mental health protection measures are in place in your workplace. Min 200 max 500 There are mental health promotion champion(s) in my/our workplace YES NO Participation in freely provided programmes is encouraged (such as SAFE TALK, ASSIST, and Mental Health First Aider etc.) YES NO Ways to best support a colleague recovering from a period of poor mental health are evident in my/our workplace YES NO There is a good understanding and working knowledge of mental health conditions in my/our workplace YES NO I feel that I have a good understanding and working knowledge of mental health conditions YES NO I am aware of and have read through the resources available on yourmentalhealth.ie YES NO I/we have availed of opportunities for training and/or development that enhance mental health and wellbeing YES NO What’s working well in your workplace and what areas do you still feel need to improve? 200 word minimum on each aspect (positive and negative) My/ our work environment looks to make improvements that are within our control Strongly Agree Agree Neither agree or disagree Strongly disagree Disagree I/we have engaged with colleagues / staff to consider changes they would like to make that are within their control Strongly Agree Agree Neither agree or disagree Strongly disagree Disagree I/we have considered opportunities for social engagement in the workplace Strongly Agree Agree Neither agree or disagree Strongly disagree Disagree My/our employee/team makes an effort to continuously improve the work environment Strongly Agree Agree Neither agree or disagree Strongly disagree Disagree My/our employer/ manager makes an effort to continuously improve the work environment Strongly Agree Agree Neither agree or disagree Strongly disagree Disagree Please feel free to attach any supporting photos or documentation that you may have SUBMIT