Nanny Evaluation Form
Nanny Name
First Name
Last Name
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Taking care of the child
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Child's safety
1
2
3
4
Child's hygiene
5
6
7
8
Meal & snack preparation
9
10
11
12
Appropriate play & activities
13
14
15
16
Appropriate discipline
17
18
19
20
Warm, friendly, loving
21
22
23
24
Working habits
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Punctual
25
26
27
28
Reliable
29
30
31
32
Shows initiative
33
34
35
36
Transparent communication
37
38
39
40
Trustworthy
41
42
43
44
Housekeeping responsibilities
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Meal preparation
45
46
47
48
Laundry
49
50
51
52
Housekeeping
53
54
55
56
Comments and further feedback
How satisfied are you with the nanny overall?
1
2
3
4
5
Back
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Employer Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: