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Personal Assistant (PA) Evaluation Form

PA's Name: Blank Line

Employer's Name: Blank Line

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Quality of Work Excellent Satisfactory Needs
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Dependability Excellent Satisfactory Needs
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Timeliness Excellent Satisfactory Needs
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Attitude Excellent Satisfactory Needs
Improvement

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Cooperation Excellent Satisfactory Needs
Improvement

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Honesty Excellent Satisfactory Needs
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Following instructions Excellent Satisfactory Needs
Improvement

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Ability to learn Excellent Satisfactory Needs
Improvement

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Initiative Excellent Satisfactory Needs
Improvement

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Accepts Supervision Excellent Satisfactory Needs
Improvement

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Strengths Excellent Satisfactory Needs
Improvement

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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 Blank Line   Next review Blank Line

Employer signature Blank Line

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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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