If you decide to hire a personal assistant (PA) through an agency, you will want to talk with agencies to learn what services they provide and what they charge. You will want to be sure the agency understands consumer direction, whether or not they can meet your needs, and if you will be able to work with them. Here are some questions that will help you to make your decision.

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What geographic area do you serve? Do you provide personal assistants in my area? |
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What types of services do you provide? |
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Do you have an emergency out-of-hours service and how do I contact it? |
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How do you determine what services I need? Who does the assessment? How will I be involved? |
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Do you provide literature explaining your services, my rights, eligibility requirements, fees, funding sources, etc.? |
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Do you develop a written plan of care? How will I be involved in developing this plan? How often is this plan updated? |
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Do you educate clients/families on the types of care being provided? |
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What are your minimum/maximum hours of service in a day or week? Are there service limitations in terms of tasks performed? |
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Are there service limitations in terms of times of the day/hours of the day? Are workers available 24 hours a day, 7 days a week? |
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How much choice do I have over my hours of service? |
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Can I meet a personal assistant before they start working for me? |
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How soon can a worker begin? Do you have a waiting list? |
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Can a personal assistant go on vacation with me? |
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How do you select or screen your workers prior to employment? Do you have references for all your personal assistants? |
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What kind of general training do they receive? What kinds of specialized training do they receive (e.g., caring for people with dementia)? |
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Are your personal assistants self-employed? If yes, who is responsible for the quality of their work? |
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Do you provide benefits and liability and malpractice insurance for your workers? Will I be expected to have insurance coverage? |
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Who pays the worker (agency or client)? |
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Who supervises workers? How often do they visit? |
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Whom do I call if the worker does not show up? How do you handle getting me a replacement worker? What happens if my regular personal assistant is sick, doesn't show up, or is away on a holiday? |
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Whom do I call if I have a problem with my worker? Do you have a complaint procedure? |
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Do you have a confidentiality policy? |
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What are your fees? Do services cost more on weekends and holidays? What do fees cover? Will I have to pay any extras such as travel expenses? |
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Do you have a sliding fee scale or subsidized service? |
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Do you provide clients with a written statement of costs and payment option plans? |
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How and when do I pay the agency? |
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May I see in advance a copy of any contract that I may be required to sign? |