• Therapist "Personality" Checklist

    Evaluation Form
  • Date*
     - -

  • A. GENERAL KNOWLEDGE

  • 1. Use & application of medicines*
  • 2. Performance of procedure*

  • B. PHYSICAL APPEARANCE

  • 3. In "Make-Up"*
  • 4. Hair in Pony Tail/ Half Pony*
  • 5. Clean Uniform and Shoes*
  • 6. In Mask while treating*

  • C. CUSTOMER RELATIONS

  • 7. Always "Smiling"*
  • 8. Greets "Patients"*
  • 9. Greets "Walk-in"*
  • 10. Can answer well to all "Inquiries"*
  • 11. Focuses on work/ treatment of the patients*
  • 12. Courteous & well mannered*

  • D. SALE ABILITY

  • 13. Can easily persuade & "Bring In" patients*
  • 14. Can easily sell medicines*

  • E. CARE CLINIC

  • 15. Cleans clinic premises*
  • 16. Does "After Care"*
  • 17. Cleans & Organized materials, Equipment, etc.*

  • F. OFFICE ORDER

  • 18. Does proper recording of treatment & sales*
  • 19. Entries in DOR, TSR & CLIMAX*
  • 20. Follow and Obey Company rules & Policies*

  • G. PEER RELATION

  • 21. Gets along well co-workers & other*
  • 22. Obey her superior & management*
  • Should be Empty: