date:____________________________________________________________________

task(s):___________________________________________________________________

_________________________________________________________________________
 

Work Behaviors 1 = poor , 2 = fair but inconsistent , 3 = satisfactory , 4 = excellent,

5 = not applicable/not observed

___ pays attention to work

___ completes task with accuracy

___ demonstrates ability to follow a routine

___ retains directions over time

___ responds appropriately to redirection

___ changes from one activity to another without difficulty

___ accepts changes in established routine

___ willing to redo tasks

___ demonstrates initiative in the absence of directions

___ is independent (can work without supervision)

___ checks quality of work

___ demonstrates appropriate use of work materials

___ uses appropriate language

___ maintains good behavior

___ separates personal and work issues

___ appropriate dress for work environment

___ demonstrates appropriate hygiene