Hoarding Assessment Checklists
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Checklist 1 |
Put a check mark when risk/hazard is found |
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Some areas in the home have visible fire hazards |
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Hoarding of excrement and/or urine |
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Bathroom has no running water |
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Bathroom is unusable and unsanitary |
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Emergency personnel will be unable to enter the house quickly due to hoard |
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Windows cannot be opened from the inside |
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Doors cannot be opened or can barely be opened |
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Stairs are unsafe to use |
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Living room floor has clutter |
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Bedroom floor has clutter |
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Dining room floor has clutter |
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Materials are piled high from floor to ceiling |
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There are piles of heavy materials |
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There are unstable piles of materials that can shatter or break (e.g. glass) |
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There are sharp items mixed with the floor clutter or piles |
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Electrical wiring is unsafe |
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There are no smoke alarms |
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Smoke alarms are present but are defective |
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An area or several areas inside the home have pooled water |
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Structural damage is present |
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Stairways are physically damaged and are not usable |
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Rotting food is present |
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Insect infestation found |
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Rodent infestation found |
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Dead animals are found mixed with the clutter |
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There is presence of animal waste inside the house |
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There is presence of fluids such as blood and vomit |
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Some parts of the home are structurally compromised due to molds and other fungus |
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Running water is not present in other parts of the home |
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Electricity has been shut off |
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Garbage collection has been discontinued |
Click here to download and print Hoarding Assessment Checklist #1
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Checklist 2 |
Rate the ability of the person to conduct a specific activity Scale: 1 – 5 |
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He/she is able to cook in the kitchen and prepare his/her own food properly. |
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He/she is able to make full use of the refrigerator. |
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He/she is able to safely use the stove or oven. |
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He/she is able to use the kitchen sink and counters. |
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The dining room table is not cluttered or is at least usable. The person is able to eat on the table. |
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He/she can navigate the house safely and is able to access all the areas of the home. |
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He/she is able to use the bathroom and the toilet. |
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He/she is able to use the sink in the bathroom. |
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When someone knocks on the door, he/she is able to respond quickly and he/she can reach the door quickly, as well. |
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He/she sleeps in the bedroom and on the bed. |
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He/she is able to do laundry (there is running water, washing machine is working, laundry area is accessible, etc.) |
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He/she is capable of finding important documents with ease. |
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He/she is able to care for animals adequately. |