Long-Term Nanny Feedback Please take the time to complete this evaluation form regarding your nanny. Family Name Nanny Name Date Hired Please rate your nanny’s performance in these categories: Fulfills Tasks and ResponsibilitiesExcellentAbove AverageSatisfactoryUnsatisfactory FlexibilityExcellentAbove AverageSatisfactoryUnsatisfactory Punctuality/ReliabilityExcellentAbove AverageSatisfactoryUnsatisfactory Follows DirectionsExcellentAbove AverageSatisfactoryUnsatisfactory Attitude/Energy LevelExcellentAbove AverageSatisfactoryUnsatisfactory Proactive/Self-MotivationExcellentAbove AverageSatisfactoryUnsatisfactory TrustworthinessExcellentAbove AverageSatisfactoryUnsatisfactory Good JudgmentExcellentAbove AverageSatisfactoryUnsatisfactory Interaction w/childrenExcellentAbove AverageSatisfactoryUnsatisfactory Intellectual stimulationExcellentAbove AverageSatisfactoryUnsatisfactory Communication w/parentsExcellentAbove AverageSatisfactoryUnsatisfactory Please list the strengths possessed/exhibited by your nanny: Please list any areas of concern which you feel need improvement: May we disclose your comments to your nanny? YesNo