There are provided a moisture-curable polyurethane hot melt adhesive containing a urethane prepolymer obtained by reacting a polyol (A) with a polyisocyanate (B), wherein the polyol (A) contains 40 to 80 mass % of a polycarbonate polyol (a1), 5 to 40 mass % of polytetramethylene glycol (a2), and 5 to 40 mass % of a polyester polyol (a3) obtained by reacting a polycarboxylic acid containing an aliphatic polycarboxylic acid and an aromatic polycarboxylic acid with a polyether polyol obtained by adding an alkylene oxide to bisphenol A, based on the total amount of the polyol (A), and a multilayer sheet using this adhesive. This adhesive can maintain excellent adhesion strength even after washing is repeatedly performed under stringent washing conditions without impairing soft texture of a multilayer sheet.