GLP Assessment Review for Supervisors This form is used to provide audited scores of the GLP Assessment. Supervisor Name First Name Last Name Supervisor Email GLP License # Client Name* First Name Last Name Client Email* Enter Email Confirm Email ImpulsiveSelect which Stem Numbers reflect the Impulsive stage 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 OpportunistSelect which Stem Numbers reflect the Opportunist stage 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 DiplomatSelect which Stem Numbers reflect the Diplomat stage 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 ExpertSelect which Stem Numbers reflect the Expert stage 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 AchieverSelect which Stem Numbers reflect the Achiever stage 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 RedefiningSelect which Stem Numbers reflect the Redefining stage 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 TransformingSelect which Stem Numbers reflect the Transforming stage 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 AlchemicalSelect which Stem Numbers reflect the Alchemical stage 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 IronistSelect which Stem Numbers reflect the Ironist stage 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 GLP Rating*Early ImpulsiveEarly OpportunistEarly DiplomatEarly ExpertEarly AchieverEarly RedefiningEarly TransformingEarly AlchemicalEarly IronistMid ImpulsiveMid OpportunistMid DiplomatMid ExpertMid AchieverMid RedefiningMid TransformingMid AlchemicalMid IronistLate ImpulsiveLate OpportunistLate DiplomatLate ExpertLate AchieverLate RedefiningLate TransformingLate AlchemicalLate IronistPhoneThis field is for validation purposes and should be left unchanged. Δ