Free Caregiver Performance Evaluation Form Template
Caregiver Performance Evaluation Form
Please fill out this form completely to evaluate the performance of the caregiver.
Caregiver Information
Name
Evaluation Period
From
To
Supervisor’s Name
Evaluation Criteria
Please rate the caregiver’s performance on a scale of 1 to 5 (1 = Poor, 5 = Excellent).
Quality of Care Provided
Communication Skills
Reliability and Punctuality
Professionalism
Adaptability and Problem-Solving
Empathy and Compassion
Additional Comments
Overall Performance Rating
Signature
Name:
Date:
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