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Healthcare support · 15 questions · scorecard and phone screen script

15 direct support professional interview questions, with answers and a scoring guide

Quick answer

For a direct support professional, the interview should test four things: supporting a person’s own choices, staying calm and safe during behavior, following medication and health rules, and writing clear notes. Ask 9 or 10 of the 15 questions below, the same way for every applicant. Applying for a DSP job? The sample answers show what providers listen for.

By the Goodfit hiring team·Updated ·

All 15 direct support professional interview questions

What a good direct support professional does on a shift

A direct support professional, or DSP, supports people with intellectual and developmental disabilities, such as autism, Down syndrome or cerebral palsy. The work happens in group homes, day programs, job sites and people’s own apartments. A shift might include helping someone cook breakfast, driving them to work at a grocery store, practicing how to pay at a register, supporting a doctor visit and helping with a shower before bed.

The core idea is that the person leads their own life. Each person has a support plan built around what they want, and the DSP helps them get there instead of doing things for them. Some people have a behavior support plan that lists what can upset them and what helps. DSPs follow these plans exactly, give or assist with medication only after the training their state requires, and write notes every shift that providers use for billing and audits.

Turnover in DSP work is high, and every new face is hard for the people being supported. Many have lived with a long line of staff coming and going. A good hire is patient, follows rules carefully, treats the person as an adult and stays.

The 4 skills these questions test
SkillWhy it matters for this job
Person-centered supportPeople with disabilities have the right to make their own choices. DSPs who take over make people more dependent and less happy.
Behavior supportSome people supported express pain, fear or frustration through behavior. The DSP has to keep everyone safe without punishment.
Medication and health rulesDSPs often give or assist with medication. Errors can hurt someone, and states set strict rules on who can do what.
Documentation and reportingShift notes prove services happened and show progress on goals. DSPs are also required to report suspected abuse, neglect and injuries.

Knockout questions to ask first

Ask these before the interview, on the application form or in the first minute of a call. A clear no on any of them means the job will not work, however good the interview is.

Pass/fail questions
QuestionWhat counts as a pass
Most states require DSPs to pass criminal background checks and abuse registry checks before working with people supported. Are you willing to complete these after an offer?Yes. Follow your state’s rules on which checks to run and when, and get written consent under the Fair Credit Reporting Act.
Are you 18 or older, and do you have a high school diploma or GED? (Ask only if your state or funding program requires it. Many do.)Yes, where the requirement applies.
This role drives people to work and appointments in an agency van. Do you have a valid driver’s license?Yes. Any driving record check comes after an offer, with written consent.
Can you work the shifts on this posting, including overnights and weekends at the group home?Yes, or a clear list of which posted shifts they can cover each week.
Are you legally allowed to work in the United States?Yes. Documents are checked on the I-9 after an offer.

Direct Support Professional interview questions and answers, by skill

Each question says why to ask it, what a strong answer sounds like, what should worry you and one follow-up question. Ask every applicant the same questions in the same order, and score each skill with the scorecard below.

Person-centered support

People with disabilities have the right to make their own choices. DSPs who take over make people more dependent and less happy.

1. A man you support wants to spend his whole paycheck on video games. His mother tells you to stop him. What do you do?

Why ask it
Tests whether the DSP respects an adult’s choices, while still following any legal guardian or plan.
A strong answer
“First I would check his support plan and whether his mother is his legal guardian. If he manages his own money, it is his choice. I might help him look at what bills he has this month so he decides with the facts. I would tell my supervisor about the mother’s concern so the team can talk with her.”
Red flag
"I would just take his card so he cannot spend it."
Follow-up
What if he runs out of money for groceries?

2. Tell me how you would teach someone to do their own laundry, step by step.

Why ask it
Teaching skills is core DSP work. A good answer breaks the task down and builds independence.
A strong answer
“I would break it into small steps: sort, load, add soap, pick the setting, start. The first week I do it with her and point to each step. Then I let her do the parts she knows and only help with the next step. A picture card on the washer helps some people.”
Red flag
"It is faster if I do it for her."
Follow-up
How would you know she is ready to do it alone?

3. How do you talk to an adult with a disability who does not use words to communicate?

Why ask it
Many people supported use signs, devices or gestures. DSPs must still speak to them as adults.
A strong answer
“I talk to them directly, not to the staff next to them, and in a normal adult voice. I learn their way of saying yes and no, whether it is a tablet, signs or a look. I give time to answer and I offer choices they can point to.”
Red flag
Talks about them in the third person, or uses baby talk.
Follow-up
How would you learn what a new person’s signs mean?

4. Why do you want to work as a DSP?

Why ask it
People who connect the work to something real in their life tend to stay through the hard first months.
A strong answer
“My younger brother has autism, and I saw how much the good staff at his day program changed his week. I want to be that person for someone. I also like that I can get training here and maybe move up to a lead DSP.”
Red flag
Only mentions it was the first job that called back.
Follow-up
What do you think will be hardest about this work?

Behavior support

Some people supported express pain, fear or frustration through behavior. The DSP has to keep everyone safe without punishment.

5. A woman you support starts screaming and throwing things in the kitchen. What do you do in the first minute?

Why ask it
Tests whether they put safety first, keep a calm voice and follow the plan instead of punishing.
A strong answer
“I would make the area safe, move other people out and step back to give her space. I keep my voice low and use few words. Then I follow her behavior support plan, which might say to offer her headphones or her room. Once she is calm, I write what happened before, during and after.”
Red flag
"I would tell her she loses TV time if she does not stop."
Follow-up
What might you look for to understand why it happened?

6. Tell me about a time you helped calm someone who was very upset.

Why ask it
A real example shows what they do under pressure. Any setting counts: school, family, a past job.
A strong answer
“At a summer camp, a boy with autism started hitting his head when the fire alarm test went off. I took him to a quiet room, gave him his weighted blanket and sat near him without talking. After that I always warned him before the alarm tests.”
Red flag
Cannot give an example, or the story ends with force.
Follow-up
What did you learn about what helped him?

7. A behavior support plan tells you to ignore a certain behavior. A coworker says it is not working and wants to try something else. What do you do?

Why ask it
Behavior plans are written by trained staff and approved for a reason. DSPs must follow them and raise concerns the right way.
A strong answer
“I would keep following the plan as written and tell my coworker I hear her. I would suggest we both write down what we see and bring it to the supervisor or behavior specialist. Changing the plan on our own can make things worse.”
Red flag
Would go along with the coworker’s idea.
Follow-up
What if the behavior keeps getting worse?

8. What would you do if you felt you were losing your temper with someone you support?

Why ask it
Burnout is real in this job. You want someone who knows their limits and asks for help.
A strong answer
“If someone else is on shift, I would ask them to take over for a few minutes and step outside to breathe. If I am alone, I make sure the person is safe, step back and give us both space. Then I tell my supervisor, because it means I need support too.”
Red flag
Says it never happens to them.
Follow-up
What do you do outside work to keep from burning out?

Medication and health rules

DSPs often give or assist with medication. Errors can hurt someone, and states set strict rules on who can do what.

9. What checks do you make before you give someone their medication?

Why ask it
States train DSPs on the same basic checks. Knowing them shows care, or training from a past job.
A strong answer
“I check the right person, the right medicine, the right dose, the right time and the right way to take it, against the medication record. I wash my hands first and sign the record right after, not before. If anything does not match, I stop and call the nurse.”
Red flag
Would sign the record at the start of the shift to save time.
Follow-up
What if the pharmacy label and the record do not match?

10. You realize you gave someone their evening pills an hour early. What do you do?

Why ask it
Medication errors must be reported right away. Hiding them is the real danger.
A strong answer
“I would watch the person closely and call the on-call nurse right away to ask what to do. Then I would fill out the medication error report the agency uses and tell my supervisor. I would not wait to see if anyone notices.”
Red flag
Would fix the time on the record or say nothing.
Follow-up
How would you keep it from happening again?

11. Are you trained to give medication in this state? If not, how do you feel about taking that training?

Why ask it
In most states DSPs need state-approved training before giving medication, and rules on what they can give differ by state.
A strong answer
“I had medication training at my last agency, but I know it may not transfer here. I am happy to take your state course and the test. I want to know exactly what I am allowed to give before I do it.”
Red flag
Thinks they can give medicine without any training.
Follow-up
What medicines would you expect to need a nurse for?

Documentation and reporting

Shift notes prove services happened and show progress on goals. DSPs are also required to report suspected abuse, neglect and injuries.

12. Your shift ends at 3 and you have not done your notes. Your ride is outside. What do you do?

Why ask it
Shift notes are needed for billing and to show progress. Skipping them is a common problem.
A strong answer
“I would tell my ride I need ten minutes and finish the notes. If it really cannot wait, I would tell the supervisor before I leave so it is not a surprise. Normally I write notes during quiet times on the shift so this does not happen.”
Red flag
"I would do them next shift."
Follow-up
What goes in a good shift note?

13. You see a coworker push a resident roughly into a chair. What do you do?

Why ask it
DSPs are generally required to report suspected abuse. You need someone who will act even when it is awkward.
A strong answer
“I make sure the resident is safe and check for injuries. Then I report it right away to my supervisor and follow the agency’s abuse reporting steps, including the state hotline if that is the rule. I would write down exactly what I saw and when. It does not matter that it is a coworker.”
Red flag
"I would talk to the coworker myself first."
Follow-up
What if the coworker is your friend?

14. How would you write a note about a goal like "Sam will order his own meal at a restaurant"?

Why ask it
Notes should tie to goals in the support plan. This tests whether they can write useful facts.
A strong answer
“I would write what happened: "At Denny’s, Sam looked at the picture menu, pointed to pancakes and said pancakes to the server. Needed one prompt to say please. Paid with his card on his own." That shows his progress and what help he needed.”
Red flag
"Sam had a good day at lunch."
Follow-up
Why write down how many prompts he needed?

15. Tell me about a time you had to report something at work that you knew would upset people.

Why ask it
Shows whether the candidate will speak up when it costs them something.
A strong answer
“At my warehouse job, I reported that a forklift had a bad brake when the lead wanted to keep going. People were annoyed for a day, but the repair found a real problem. I would do the same here if someone was not safe.”
Red flag
Avoids reporting anything to keep the peace.
Follow-up
How did your supervisor respond?

How a Goodfit AI interview asks these

Goodfit can ask these questions for you. It calls each applicant or sends a browser link, asks follow-up questions, and scores each skill out of 10 with the line the score came from. Here is a short scripted example for this role.

Scripted example · Direct Support Professional · phone interview

Goodfit AI interviewerYou see a coworker push a resident roughly into a chair. What do you do?

MarcusFirst I check that the resident is okay. Then I tell my supervisor right away and follow the abuse report steps, even if it is a coworker I like.

Goodfit AI interviewerWhat would you write down?

MarcusWhat I saw, the time, where it happened and who was there. Just facts, not what I think the coworker meant.

Direct Support Professional interview scorecard

Score each skill from 1 to 5 right after the interview, before you talk to anyone else about the candidate. A 2 or a 4 means the answer sat between the two descriptions next to it.

Scoring guide for direct support professional interviews
Skill1: weak3: fine5: strong
Person-centered supportTalks about "taking care of" or "watching" clients like children. Would decide for them.Respects choices in general but cannot give an example of helping someone do something themselves.Speaks about people as adults, gives examples of teaching a skill step by step, and supports choices they might not make themselves.
Behavior supportTalks about consequences, taking things away or holding someone down.Stays calm but does not think about why the behavior happened or about the written plan.Looks for the cause, follows the behavior support plan, uses calm words and space, and writes down what happened before, during and after.
Medication and health rulesWould give medication without training or skip steps to save time.Knows the basics of checking a label but is unsure what to do after an error.Names the checks before each dose, knows that state training is required, reports errors right away and knows when to call the nurse.
Documentation and reportingSees notes as busywork. Would handle a possible abuse concern quietly.Writes notes every shift but vaguely. Would report abuse but is unsure how.Writes facts tied to the person’s goals, reports incidents the same shift and knows that suspected abuse must be reported, even about a coworker.
Build your own scorecard

10-minute direct support professional phone screen script

What to cover, minute by minute
MinutesStepWhat to say or do
0 to 1Open the call"Thanks for applying to be a DSP with us. This takes about ten minutes. I will check a few must-haves, ask three questions and tell you about the homes and shifts."
1 to 3Run the knockoutsAsk about the background checks, age and diploma if required, driver’s license, shifts and work status. A clear no on any of these ends the call politely.
3 to 4Ask about experience"Have you supported people with disabilities before, at work, school or in your family?" No experience is fine. Listen for how they talk about people.
4 to 7Ask three questionsUse the woman throwing things in the kitchen, the coworker who pushes a resident and the paycheck spent on video games. Together they cover safety, reporting and respect.
7 to 9Describe the job honestlyGive pay, shift lengths, which homes or programs, the training before they work alone and that some people they support have behavior plans. People who hear it plainly are less likely to quit in week two.
9 to 10Close the call"What questions do you have? Next step is a visit to the home to meet the team. We will be in touch by Wednesday."

A shift note and choices exercise

Describe a short scene: "Tasha, 29, wants to wear shorts to her job at the library in January. Her support plan goal is choosing her own clothes. Later she gets upset when the bus is late and bangs on the window." Ask the applicant what they would say about the shorts, what they would do at the bus stop, and to write a three-line shift note.

Strong applicants let Tasha choose and maybe suggest bringing a jacket, follow her plan at the bus stop and write a note with facts and times. A situational judgment test can rank many applicants on similar choices before you meet them.

To test this for every applicant, send the situational judgment test with the AI interview. The result sits on the same report.

Questions not to ask in a direct support professional interview

These questions can break federal or state law, and none of them tell you whether someone can do the job. Rules change by state and city, so check yours before you write an interview guide.

What to avoid and what to ask instead
Do not askWhyAsk instead
Do you have a family member with a disability?The ADA protects applicants from discrimination because of their association with a person with a disability. It can also be heard as a question about caregiving duties.What draws you to support work with people with disabilities?
Have you ever been treated for depression or anxiety? This job is stressful.Questions about mental health history are disability-related and not allowed before an offer under the ADA.This job includes times when someone you support is very upset. Tell me how you handle stressful moments at work.
What year did you finish high school?It reveals age, and the Age Discrimination in Employment Act protects workers 40 and older.This role requires a high school diploma or GED. Do you have one?
Are you married? Will your husband mind you working overnights?Marital and family status are not job requirements, and many states ban marital status discrimination.This role includes Friday and Saturday overnight shifts. Can you work those every week?

Direct Support Professional pay and jobs in the US

Social and human service assistants, from the Bureau of Labor Statistics
MeasureFigure
Median pay (May 2025)$45,930 a year, about $22.08 an hour
People in this job (2025)463,400
Openings each year (2025 to 2035)48,900
Usual education to startHigh school diploma or equivalent

Source: BLS Employment Projections, table 1.2 and the Occupational Outlook Handbook, read October 16, 2026. BLS has no separate line for direct support professionals. The closest is social and human service assistants. Most openings come from people leaving the job, not new jobs, which is why hiring for it never stops.

Tips if you are interviewing for a direct support professional job

  • Talk about people you support as adults. Say "the person" or their name, and avoid words like "kids" or "patients" for adults.
  • Have one example of teaching someone to do something themselves, even a younger sibling learning to cook.
  • Know that you will need to report any sign of abuse, even about a coworker. Say so plainly if asked.
  • Be ready to say you will take the medication training. Showing you want to learn the rules matters more than knowing them already.

Frequently asked questions

What are the most common direct support professional interview questions?

Expect questions about why you want to be a DSP, how you would handle someone who is upset or aggressive, how you support a person’s choices, what you do after a medication error and how you would report abuse. Many providers also ask about overnights and driving.

What does a direct support professional do?

A DSP helps people with intellectual and developmental disabilities live the life they choose. That includes daily tasks like cooking and bathing, getting to work and appointments, learning new skills, giving medication after state training and writing notes every shift.

How do I answer "Why do you want to be a DSP?"

Give your real reason and one detail. It might be a family member, a volunteer role or a past job where you liked helping people do things on their own. Add that you want to stay and grow, because providers worry about turnover.

Can I become a DSP with no experience?

Yes. Most providers hire people with no experience and train them, including the medication and safety training the state requires. In the interview, show patience, respect for adults with disabilities and a willingness to follow rules.

What does person-centered mean in a DSP interview?

It means the person you support decides what their life looks like, and you help them get there. In answers, show that you ask what they want, offer choices and teach skills instead of doing things for them.

Interview every direct support professional applicant, without the phone calls

Goodfit asks these questions by phone call or browser link, at any hour. You get a score for each skill, with the recording and the transcript.

  • 20 free interviews, no card needed
  • Then $5 per assessment
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