Personal Assistant (PA) Evaluation Form

PA's Name: Blank Line

Employer's Name: Blank Line

Start date: Blank Line

Quality of Work

Excellent

Satisfactory

Needs
Improvement

Comments

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Dependability

Excellent

Satisfactory

Needs
Improvement

Comments

Blank Line

Timeliness

Excellent

Satisfactory

Needs
Improvement

Comments

Blank Line

Attitude

Excellent

Satisfactory

Needs
Improvement

Comments

Blank Line

Cooperation

Excellent

Satisfactory

Needs
Improvement

Comments

Blank Line

Honesty

Excellent

Satisfactory

Needs
Improvement

Comments

Blank Line

Following instructions

Excellent

Satisfactory

Needs
Improvement

Comments

Blank Line

Ability to learn

Excellent

Satisfactory

Needs
Improvement

Comments

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Initiative

Excellent

Satisfactory

Needs
Improvement

Comments

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Accepts Supervision

Excellent

Satisfactory

Needs
Improvement

Comments

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Strengths

Excellent

Satisfactory

Needs
Improvement

Comments

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Areas for improvement

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

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

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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/.