Home Health Aide Performance Evaluation Checklist

Performance Criteria
Criteria Meets Expectations Needs Improvement Comments
Professional Appearance & Hygiene
Punctuality & Reliability
Communication with Clients
Attitude & Professionalism
Assistance with Activities of Daily Living
Medication Reminders & Documentation
Compliance with Care Plan
Reporting & Documentation
Safety Practices
Adaptability & Initiative
Strengths
Areas for Improvement
Evaluator's Signature
Date