




| COMPETENT CAREGIVING |

| 2900 Bristol St., Suite D107, Costa Mesa, CA 92626 (800) 755-4818 email: info@competentcaregiving.com |
![]() | Getting the client in & out of bed | |
![]() | Walking or pushing a wheelchair | |
![]() | Assisting with using stairs | |
![]() | Dressing | |
![]() | Bathing | |
![]() | Brushing teeth, shaving, hair care, makeup | |
![]() | Using the toilet or other bladder or bowel care | |
![]() | Feeding | |
![]() | Reminding about medication |
![]() | Preparing meals | |
![]() | Dishwashing | |
![]() | Making and/or changing the bed | |
![]() | Doing laundry (washing, drying, folding, ironing) | |
![]() | Performing simple gardening tasks | |
![]() | Vacuuming/Dusting | |
![]() | Cleaning bathroom | |
![]() | Washing floors | |
![]() | Taking out garbage |
![]() | Doing home exercises | |
![]() | Picking up medicines | |
![]() | Taking to medical appointments | |
![]() | Running errands | |
![]() | Taking the client to social events |
![]() | Taking client on public transportation or driving to: |
![]() | Visit friends | |
![]() | On outings | |
![]() | Religious services | |
![]() | Family events |
![]() | Previous caregiving experience (length of employment at each job and reason | |
| for leaving. Avoid anyone who quit jobs because employers were "mean or unreasonable." This may indicate a problem with authority.) | ||
![]() | Reasons for wanting the job | |
![]() | Openness to take direction | |
![]() | Available, reliable transportation | |
![]() | Other responsibilities that may interfere with work, such as classes, family | |
| obligations or second job | ||
![]() | Overall health status and ability to perform heavy lifting or other duties |
![]() | Can the person perform needed tasks? | |
![]() | Does his or her previous experience resemble required duties? | |
![]() | Does the caregiver appear reliable, honest and compassionate? | |
![]() | Will this person show up as expected and follow through with duties? | |
![]() | Do you, the person needing care, and the caregiver seem compatible? | |
![]() | Will the caregiver be concerned about the client's well being? | |
![]() | Is the caregiver open to working with the client to ensure needs are met? | |

| 2900 Bristol St., Suite D107, Costa Mesa, CA 92626 Telephone: (800) 755-4818 Fax: (714) 545-8830 Serving Orange County, CA and surrounding areas. |
| Celebrating 20 Years in Business in 2008 |
| Patient services are provided without regard to race, religion, age, gender, disability (mental or physical), communicable disease, or place of national origin. |
