Pupil Initial Assessment & Progress Form

📊 [Business Name] 👤 Instructor: [Your Name] 🪪 ADI Reg: [ADI Registration Number]

1. Pupil Details

Pupil Full Name

Date of Birth

Contact Phone

Email Address

Provisional Licence Number

Transmission

Home Address

2. Theory Test & Previous Experience

Theory Test Pass Date

Theory Certificate Number

Previous Lessons (approx. hours)

Previous Instructor / School

Previous Test Attempts

Estimated Lessons to Test

Any previous experience outside formal lessons (e.g. private practice)?

3. DVSA Eyesight Check

    The DVSA requires all drivers to be able to read a standard number plate (post-September 2001 format) at a distance of 20 metres. This check must be completed before any lessons begin.
  

Eyesight check completed at start of first lesson on:

Pupil confirmed they wear glasses/contact lenses during driving (if applicable)

Pupil confirmed no notifiable medical condition affecting fitness to drive (DVLA Group 1)

If the Pupil is unable to meet the eyesight standard, lessons cannot proceed until a satisfactory optician's report is provided.

4. Initial Driving Standard Assessment

Rate the Pupil's current competency in each area at the start of tuition. Score 1–5 using the scale below. Leave blank if not yet assessed.

1 Not yet introduced 2 Introduced — needs significant guidance 3 Developing — needs some guidance 4 Mostly competent — minor prompts only 5 Test ready — drives independently

DVSA Competency Area	Initial	Mid	Pre-test
Vehicle safety checks (Show Me / Tell Me)
Controls — clutch, gears, accelerator, brakes
Moving off — safely, at angle, on a hill
Steering — position, smooth cornering
Mirrors, signals, road position (MSM routine)
Observations — scanning, blind spots, pedestrians
Junctions — emerging, turning right/left
Roundabouts — approach, lane choice, exit
Overtaking, meeting traffic, crossing traffic
Dual carriageway — joining, lane discipline, leaving
Reversing exercises (bay park, parallel, turn in road)
Independent driving (following signs/sat nav)

5. Pupil Goals & Priority Areas

What does the Pupil most want to achieve from lessons?

Key areas to focus on (Instructor's initial assessment)

Target test date (if known)

Preferred test centre

6. Lesson-by-Lesson Progress Notes

Date	Duration	Topics covered / progress notes	Areas to revisit	Instructor initials

Print additional copies of this page as needed. Keep all completed pages together in the Pupil's file.