FORM 1.

1 SELF-ASSESSMENT CHECK

INSTRUCTIONS: This Self-Check Instrument will give the trainer necessary

data or information which is essential in planning training
sessions. Please check the appropriate box of your answer to
the questions below.

BASIC COMPETENCIES
CAN I…? YES NO
1. PARTICIPATE IN WORKPLACE COMMUNICATION
1.1 Obtain and convey workplace information /
1.2 Participate in workplace meetings and discussions /
1.3 Complete relevant work-related documents /
2. WORK IN A TEAM ENVIRONMENT
2.1 Describe team role and scope /
2.2 Identify own role and responsibility within team /
2.3 Work as a team member /
3. PRACTICE CAREER PROFESSIONALISM
3.1 Integrate personal objectives with organizational /
goals
3.2 Set and meet work priorities /
3.3 Maintain professional growth and development /
4. PRACTICE OCCUPATIONAL HEALTH AND SAFETY
PROCEDURES
4.1 Identify hazards and risks /
4.2 Evaluate hazards and risks /
4.3 Control hazards and risks /
4.4 Maintain OHS awareness /

COMMON COMPETENCIES
CAN I…? YES NO
1. IMPLEMENT AND MONITOR INFECTION- CONTROL
POLICIES AND PROCEDURES
1.1 Provide information to the work group about the /
organization's infection control policies and procedures
1.2 Integrate the organization's infection control policy /
and procedure into work practices
 1.3 Monitor infection control performance and implement /
improvements in practices
2. RESPOND EFFECTIVELY TO DIFFICULTY/CHALLENGING
BEHAVIOR
2.1 Plan responses /
2.2 Apply response /
2.3 Report and review incidents /
3. APPLY BASIC FIRST AID
3.1 Assess the situation /
3.2 Apply basic first aid techniques /
3.3 Communicate details of the incident /
4. MAINTAIN HIGH STANDARDS OF PATIENT/CLIENT SERVICES
4.1 Communicate appropriately with patients/clients /
4.2 Establish and maintain good interpersonal /
relationship with patient/clients
4.3 Act in a respectful manner at all times /
4.4 Evaluate own work to maintain a high standard of /
patient/client service

CORE COMPETENCIES
CAN I…? YES NO
1. PLAN THE HILOT WELLNESS PROGRAM OF CLIENT/S
1.1 Assess/Interview client /
1.2 Determine the hilot wellness program /
1.3 Confirm hilot wellness program /
2.PROVIDE PRE-SERVICE TO CLIENTS
2.1 Schedule clients /
2.2 Receive clients /
2.3 Identify clients’ special customer service /
needs/requirements
2.4 Deliver hilot wellness service to clients /
2.5 Respond to clients’ complaints /
3. APPLY HILOT WELLNESS MASSAGE TECHNIQUES,
3.1Prepare sequentially work area and environment in /
accordance with hilot wellness massage techniques
3.2 Prepare self assessment for hilot wellness session /
3.3 Prepare client for hilot wellness massage techniques /
 3.4 Perform hilot wellness massage techniques in /
accordance with client needs, relevant laws and
workplace policies and procedures
4. PROVIDE POST-ADVICE AND POST-SERVICES TO CLIENTS
4.1 Identify products and services /
4.2 Explain products and services knowledge /
4.3 Recommend specialized products and services /
4.4 Perform aftercare service /
4.5 Administer service /

Note: In making the Self-Check for your Qualification, all required competencies
should be specified. It is therefore required of a Trainer to be well- versed of
the CBC or TR of the program qualification he is teaching.