Direct Support Professional Assessment
Evaluate the performance and competencies of a Direct Support Professional (DSP) using this structured assessment form.
Assessor Name
*
First Name
Last Name
Direct Support Professional (DSP) Name
*
First Name
Last Name
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Relationship to DSP
*
Supervisor
Peer
Client/Family
Other
Core Competencies Assessment
*
Rows
Excellent
Good
Satisfactory
Needs Improvement
Communication Skills
1
2
3
4
Professionalism
5
6
7
8
Punctuality and Reliability
9
10
11
12
Respect for Clients
13
14
15
16
Ability to Follow Care Plans
17
18
19
20
Problem Solving
21
22
23
24
DSP’s Ability to Work Independently
*
1
2
3
4
5
Teamwork and Collaboration
*
1
2
3
4
5
Adherence to Policies and Procedures
*
Always
Usually
Sometimes
Rarely
Areas of Strength
Areas for Improvement
Overall Performance Rating
*
Poor
1
2
3
4
Outstanding
5
1 is Poor, 5 is Outstanding
Additional Comments
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