Task List Worksheet

Personal Care Household Errands Transportation

How often do these need to be done? Daily, Weekly, Monthly

Dressing Vacuum Grocery shopping Accompany
Showering/bathing/bed Shampoo Carpet Clothes shopping Provide
Toileting Wash/wax floors Medical supplies Arrange/schedule
Hair Food preparation Prescriptions Work
Teeth Bathrooms Mailing packages School
Ears Windows   Medical
Shaving Plants   Volunteer
Fingers / toe nails Garbage Yardwork Other activities
Nose blowing Appliance Cleaning Gardening  
Feeding Changing linens Mow grass  
Exercise Dishes Chop/stack wood Recreation
Catheter Laundry Painting Family/friends
Bed Ironing Weeding Social events
Bowel Program     Movies
    Miscellaneous Restaurants
  Animal Care Supervise medication Picnics
  Veterinary visits Money management Playing games
    Check writing  
    Reading/writing  
  Child care Correspondence  
  If hired specifically for Signing  
    Wheelchair cleaning  
    Wheelchair batteries  
    Wheelchair maintenance  
    Automobile to shop for maintenance  

PAS User Manual Table of Contents
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