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Personal Hygiene Checklist Form Template

Streamline Your Hygiene Routine with This Simple Checklist

Keeping up with personal hygiene can be overwhelming, especially with busy schedules. This template helps you create a daily checklist that ensures you never miss key hygiene tasks. Enjoy the convenience of a printable daily personal hygiene checklist, which promotes consistent cleanliness, enhances your self-confidence, and encourages better health habits. It's perfect for personal use, family routines, or even educational settings. Start using the live template to simplify your hygiene management today!

Use this Template (FREE) Live Preview
Date of checklist
Completed by (name, optional)
Name of the person this checklist is for (optional)
Washed hands after using the restroom today
Yes
No
Not applicable
Washed hands before eating today
Yes
No
Not applicable
Brushed teeth today
Twice or more
Once
Not today
Not applicable
Flossed or used an interdental cleaner today
Yes
No
Not applicable
Showered or bathed today
Yes
No
Not applicable
Applied deodorant or antiperspirant today
Yes
No
Not applicable
Hair is clean and brushed or combed today
Yes
No
Not applicable
Nails are clean and trimmed as needed
Yes
No
Not applicable
Wore clean underwear and socks today
Yes
No
Not applicable
Managed menstrual hygiene products as needed today
Yes
No
Not applicable
Prefer not to say
After toileting, cleaned thoroughly and disposed of products properly
Yes
No
Not applicable
When were bed linens last changed?
Within the last 7 days
8-14 days ago
More than 14 days ago
Not applicable
Towels have been changed or washed within the last 3 uses
Yes
No
Not applicable
Toothbrush is in good condition (replaced or head changed within the last 3 months)
Within the last 3 months
3-6 months ago
More than 6 months ago
Not applicable
Availability of hygiene supplies for the next week
Enough for a week or more
Some items running low
Out of some items
Assistance needed with any hygiene tasks
No assistance needed
Some assistance needed
Full assistance needed
Concerns noticed today (select all that apply)
Skin irritation or rash
Mouth discomfort
Nail issues
Body odor
Clothing soiled
Other
Please Specify:
Additional notes (optional)
Typed signature (full name)
I confirm the information provided is accurate to the best of my knowledge
Yes
No
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Paper art illustration depicting a personal hygiene checklist for a form template by FormCreatorAI

When to use this form

Use this form whenever you need a consistent, daily hygiene routine that is easy to follow and track. It suits students building habits, food service teams before a shift, home health aides supporting clients, and shared households that want clear expectations. Checking off tasks reduces missed steps and helps prevent illness, odors, and cross-contamination. You can also capture notes and follow-up actions, so supervisors or caregivers can see trends over time. If you already rely on structured checklists, such as the Equipment checklist form or the Automotive shop safety checklist form, you will recognize the same clear, step-by-step flow that turns guidance into action.

Must Ask Personal Hygiene Checklist Questions

  1. Did you wash your hands with soap and water for at least 20 seconds before eating, after restroom use, and after contact with high-touch surfaces?

    This sets a clear standard and improves accuracy in your routine. Think of it like the Drone preflight checklist form: a simple, ordered step that prevents skipped tasks and reduces germ spread.

  2. Did you bathe or shower today and change into clean undergarments, socks, and clothes?

    Daily bathing and fresh clothing lower odors and bacteria that can transfer to others or surfaces. It also helps you plan laundry and toiletries so you do not run out.

  3. Did you brush your teeth this morning and evening and floss once today?

    Oral care affects breath, confidence, and overall health. This reminder helps you catch missed brushing times and note issues like bleeding gums for follow-up.

  4. Are your fingernails trimmed, clean, and free of dirt or broken edges?

    Short, clean nails collect fewer germs and are safer for food prep and caregiving. Asking this reduces scratching injuries and signals when you need a trim or thorough scrub.

  5. Are hygiene supplies stocked and accessible, including soap, hand sanitizer, tissues, menstrual products, and clean towels?

    If supplies are missing, you cannot complete the routine. This question triggers restocking and helps you spot patterns, such as frequent soap shortages.

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