Housekeeper Feedback

Family Name

Housekeeper Name

Date Hired

Please rate your housekeeper’s performance in these categories:

Fulfills Tasks and Responsibilities ExcellentAbove AverageSatisfactoryUnsatisfactory

Meets Your Quality and Frequency Standards ExcellentAbove AverageSatisfactoryUnsatisfactory

Follows Directions ExcellentAbove AverageSatisfactoryUnsatisfactory

Punctuality/Reliability ExcellentAbove AverageSatisfactoryUnsatisfactory

Attitude/Self-Motivation ExcellentAbove AverageSatisfactoryUnsatisfactory

Flexibility ExcellentAbove AverageSatisfactoryUnsatisfactory

Good Judgment ExcellentAbove AverageSatisfactoryUnsatisfactory

Communication ExcellentAbove AverageSatisfactoryUnsatisfactory

Overall Rating ExcellentAbove AverageSatisfactoryUnsatisfactory

Please list the strengths possessed/exhibited by your housekeeper:

Please list any areas of concern which you feel need improvement:

May we disclose your comments to your housekeeper?

YesNo