Caregiver Personality Assessment

Employee Name *

Pace — How do you prefer to work? Choose all that apply

Fast and efficient care Slow and patient care

Client Independence Level — What independence level do you feel most comfortable assisting? Choose all that apply

Needs help with most things Needs help with certain activities Doesn't need help but would like nearby support

Privacy Preferences — How much personal space do you tend to give your clients? Choose all that apply

As much as possible; unless needed Nearby and involved most of the time

Gender Preference — Do you prefer a male or female client? Choose all that apply

Male Female

Physical Strength — How much weight do you feel comfortable lifting? Choose all that apply

Initiative — How do you approach daily tasks? Choose all that apply

Takes initiative and suggests what needs to be done Follows the instructions and lead of the client

Temperament — What kind of energy do you bring to work?

Very calm, quiet, lowkey energyVery upbeat, bubbly, high energy

Social Preferences — How much conversation do you enjoy?

Solitude / quietChatty / engaged

Daily Rhythm — When are you most active?

Early riserNight owl

Communication Type — How would you like to communicate with your clients? Choose all that apply

I prefer direct, straightforward communication I prefer soft and gentle communication

Humor Style — What kind of humor represents you best? Choose all that apply

Playful, Satirical Dry, Deadpan Witty Wordplay / Puns Serious and Earnest

Interests and Activities — What activities do you prefer to do? Choose all that apply

Cultural Background — How important is cultural familiarity? Choose all that apply

Cultural background doesn't matter to me I prefer someone who understands my culture and cuisine

Tidiness Preferences — How clean do you like to keep your workplace / surroundings?

Relaxed and lived-inShiny and spotless

Pet Preferences — How comfortable are you with pets? Choose all that apply

Very comfortable Not comfortable at all Uncomfortable with / allergic to certain pets

Home Norms — Which of these home standards are you willing to follow? Choose all that apply

No smoking in/around the house Fragrance free or minimal cologne/perfume Shoes off in home Quiet environment (no loud music, T.V., etc.) Special dietary rules (religious/medical)

Political Alignment — How important is it that your client shares the same political views?

Don't careMust align

Spiritual Practices — How important is it that your client shares the same spiritual beliefs?

Not importantCentral to my life

Assessment Flexibility — How closely would you like your client to align to your assessment results?

Match must be just rightI can adjust