Evaluation

Details

Full Name
Date
SOJ Staff Name
Physical Health:
(ability to function, to engage in physical activity and job assignment)

Excellent
Good
Fair
Poor
Explain
Mental Health:
(ability to comprehend and engage in conversation and following directions)

Excellent
Good
Fair
Poor
Explain
Hygiene:
(ability to have self-care with cleanliness, body odor, daily showers, clean clothes, neat hair, etc.)

Excellent
Good
Fair
Poor
Explain
Completing Chores:
(keeping their beds made nice and tidy, washing their own dishes, cleaning up after themselves after eating in the kitchen, cleaning their messes in the restroom after each use of the shower)

Excellent
Good
Fair
Poor
Explain
Job Performance:
(working the jobs as if their lives depending, keeping steady jobs and rapport with contractors)

Excellent
Good
Fair
Poor
Explain
Respecting Others and Other’s Belongings:
(keeping the cursing to a minimum in the house, creating a peaceful environment for others, not taking belongings or using others things without asking permission)

Excellent
Good
Fair
Poor
Explain
Following SOJ Rules:
(keeping SOJ rules and adhering to instructions given by leadership)

Excellent
Good
Fair
Poor
Explain
Additional Comments
Lead Name
Case Management