A 9-page Word written exam for non-medical caregivers: 40 questions on 6 pages plus a 3-page answer key and scoring section.

For USA home care agency owners, trainers, and supervisors. Plus 1 agency instructions page to remove before use.

What’s included

1. Page 1: candidate details, exam instructions, passing-score blank, and section overview
2. Pages 2-6: Section 1 infection control, Section 2 safety, falls, emergencies, and body mechanics, Section 3 client rights, abuse, confidentiality, and dementia, Section 4 personal care, nutrition, medication reminders, reporting, and documentation, Section 5 true / false, Section 6 short answer
3. Pages 7-9: Agency Use Only answer key with rationale, scoring, and a safety review and retraining record (remove before giving the exam)
4. Agency instructions page, to remove before use

Add your logo and name

1. Open the Word file and replace the Your Logo Here box with your logo.
2. Replace Agency Name in the letterhead; the body says “the Agency,” so no other name edits are needed.
3. Replace the Street Address, City, State ZIP line and the Phone, Email, Website line with your details.
4. Set your passing score on Page 1. Set the letterhead text to black, delete the instructions page, and save.

Customizable template, not legal advice; check your state’s requirements. Not a license to operate, not HIPAA software, and no medical claims. This exam is an agency tool; it does not certify anyone or replace state-required training. Review the questions against current guidance and your state rules.