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Personal Assistant (PA) Evaluation Form

PA's Name:

Employer's Name:

Start date:

Quality of Work Excellent Satisfactory Needs
Improvement

Comments

Dependability Excellent Satisfactory Needs
Improvement

Comments

Timeliness Excellent Satisfactory Needs
Improvement

Comments

Attitude Excellent Satisfactory Needs
Improvement

Comments

Cooperation Excellent Satisfactory Needs
Improvement

Comments

Honesty Excellent Satisfactory Needs
Improvement

Comments

Following instructions Excellent Satisfactory Needs
Improvement

Comments

Ability to learn Excellent Satisfactory Needs
Improvement

Comments

Initiative Excellent Satisfactory Needs
Improvement

Comments

Accepts Supervision Excellent Satisfactory Needs
Improvement

Comments

Strengths Excellent Satisfactory Needs
Improvement

Comments

Areas for improvement

Action Plan for Improvements -- include action steps and timeline for achieving the improvement.

Changes in schedule, task checklist, or work agreement, if any

Date of review   Next review

Employer signature

Employee signature

Tools > Personal Assistant Evaluation Form

This tool is part of InfoUse's Working Together, a website for consumers of personal assistance services. http://www.infouse.com/pas/.

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