Housekeeper Feedback Please take the time to complete this evaluation form regarding your housekeeper. 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
