About me Your occupation and experience
Do you have kids? Please, select Yes No
How many kids do you have and they age:
How do you respond to unexpected situations or special requirements? Please, select Good Normal Poor
Do you have a car? Please, select Yes No
Are you vaccinated against COVID-19? Please, select Yes No
Your phone OS Please, select Android iOS Other
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What services do you provide? Do you provide any services not listed above?
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Adult care Please select the services you are NOT willing to provide:
Are you ready to go shopping to the stores? Please, select Yes No
Are you ready to go to the doctor with the adult you care for? Please, select Yes No
Are you ready to go to the events with the adult you care for? Please, select Yes No
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Child care
Are you willing to do work with infants and toddlers? Please, select Yes No
Are you willing to drive or pick up kids from school? Please, select Yes No
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Animal care
Do you offer any of the following services?
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Cleaning What types of facilities have you cleaned before?
Do you have cleaning supplies and materials available? Please, select Yes No
Do you have experience with natural or allergen-free products? Please, select Yes No
Do you have any natural or allergen-free products available? Please, select Yes No
Are you ready to do additional tasks? Please, select Yes No
Ironing Please, select Yes No
Change and make the bed Please, select Yes No
Window cleaning Please, select Yes No
Can you work in a place with pets? Please, select Yes No
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Your schedule Please provide information about the days and times you are available to work.
From Please select 12 AM 1 AM 2 AM 3 AM 4 AM 5 AM 6 AM 7 AM 8 AM 9 AM 10 AM 11 AM 12 PM 1 PM 2 PM 3 PM 4 PM 5 PM 6 PM 7 PM 8 PM 9 PM 10 PM 11 PM
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From Please select 12 AM 1 AM 2 AM 3 AM 4 AM 5 AM 6 AM 7 AM 8 AM 9 AM 10 AM 11 AM 12 PM 1 PM 2 PM 3 PM 4 PM 5 PM 6 PM 7 PM 8 PM 9 PM 10 PM 11 PM
To Please select 12 AM 1 AM 2 AM 3 AM 4 AM 5 AM 6 AM 7 AM 8 AM 9 AM 10 AM 11 AM 12 PM 1 PM 2 PM 3 PM 4 PM 5 PM 6 PM 7 PM 8 PM 9 PM 10 PM 11 PM
From Please select 12 AM 1 AM 2 AM 3 AM 4 AM 5 AM 6 AM 7 AM 8 AM 9 AM 10 AM 11 AM 12 PM 1 PM 2 PM 3 PM 4 PM 5 PM 6 PM 7 PM 8 PM 9 PM 10 PM 11 PM
To Please select 12 AM 1 AM 2 AM 3 AM 4 AM 5 AM 6 AM 7 AM 8 AM 9 AM 10 AM 11 AM 12 PM 1 PM 2 PM 3 PM 4 PM 5 PM 6 PM 7 PM 8 PM 9 PM 10 PM 11 PM
From Please select 12 AM 1 AM 2 AM 3 AM 4 AM 5 AM 6 AM 7 AM 8 AM 9 AM 10 AM 11 AM 12 PM 1 PM 2 PM 3 PM 4 PM 5 PM 6 PM 7 PM 8 PM 9 PM 10 PM 11 PM
To Please select 12 AM 1 AM 2 AM 3 AM 4 AM 5 AM 6 AM 7 AM 8 AM 9 AM 10 AM 11 AM 12 PM 1 PM 2 PM 3 PM 4 PM 5 PM 6 PM 7 PM 8 PM 9 PM 10 PM 11 PM
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