Caregiver Screening Application

Please complete the short assessment below to begin your application process.

First Name *

Last Name *

Phone *

Email *

City *

State *

Postal Code *

Are you legally authorized to work in the United States?

Yes

No

Do you have prior caregiving experience?

Yes (1+ years)

Yes (less than 1 year)

No

Do you have reliable transportation?

Yes

No

Let’s Understand Your Approach to Caregiving

When a client becomes upset or frustrated, what should you do first?

A. Tell them to calm down

B. Ignore the behavior and continue working

C. Stay calm, listen, and reassure them respectfully

D. Leave the room until they settle

If you realize you will be late to your shift, what should you do?

A. Arrive quietly and not mention it

B. Notify your supervisor or office immediately

C. Wait to see if anyone notices

D. Skip the shift if you’re too late

A client asks you to do something not included in their Patient's care plan. What do you do?

A. Do it if they insist

B. Politely explain and contact your supervisor

C. Refuse without explanation

D. Ignore the request

If a client refuses assistance (like bathing or medication), what is the best response?

A. Force them because it’s required

B. Stay calm, understand their concern, and report if needed

C. Leave immediately

D. Argue until they agree

You notice a sudden change in a client’s behavior or condition. What should you do?

A. Wait until your next shift

B. Mention it casually later

C. Report it immediately following protocol

D. Ignore unless it gets worse

How should you protect a client’s dignity during personal care?

A. Work quickly without talking

B. Maintain privacy, explain actions, and be respectful

C. Let others observe if needed

D. Avoid communication to reduce awkwardness

You notice something in the home that could cause a fall. What should you do?

A. Ignore it

B. Tell the client once and move on

C. Take action if possible and report it

D. Wait until an accident happens

A family member speaks to you disrespectfully. What do you do?

A. Respond with the same tone

B. Stay calm, professional, and report if necessary

C. Stop communicating completely

D. Leave the job immediately

Why is documenting your work important?

A. It’s not that important

B. Only needed if something goes wrong

C. It ensures proper care, communication, and accountability

D. It’s just paperwork

What does professionalism mean when working in a client’s home?

A. Acting casually to make them comfortable

B. Doing only what is asked

C. Respecting boundaries, being reliable, and maintaining standards

D. Treating it like your own home

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