Send
Section 1 of 1
See Looking Forward to Hiring A Nanny/ Domestic help/ Home Tutor/ caregiver?
Kindly answer the questions that suits your preferred service. 
Please take note of the following:
1. Our nanny sole responsibility is to care for the child and everything concerning the child and not the entire household.
2. Our nanny/ caregivers are entitled to one day off in a week.
3. It takes a minimum of 2 weeks to get your request ready for you
This form is automatically collecting emails from all respondents.Change settings
Request for Domestic Help
Nanny
Loading...
Loading…
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
0556657648Telephone number
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Email
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
What is your household make up
Question Type
Loading image…
Single parenting
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
where do you reside?  
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Number of children?  
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Education background 
Question Type
Loading image…
Cambridge
others
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Age of child(ren)?  
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
How long do you plan to employ a Nanny?
Question Type
Loading image…
Less than a year
More than a year
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Select your preferred service
Question Type
Loading image…
Live in Nanny
Live Out Nanny
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Preferred age range of nanny
Question Type
Loading image…
21 - 30
30 - 45
45 - 50
Option 4
Other:
Add option
Answer key
(0 points)
Loading...
Loading…
Accommodation type for a live-in Nanny help?
Question Type
Loading image…
Same room with the child/children
Own room inside the house
Out Quarters
Non applicable
Other:
Add option
Answer key
(0 points)
Loading...
Loading…
Nanny schedule. 
Question Type
Loading image…
Monday - Friday
Weekends
Other:
Add option
Answer key
(0 points)
Loading...
Loading…
Would you want your nanny to play a role in child's discipline?
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
If yes specify 
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Are there any activities you specifically do not want the nanny to do with the children?
Question Type
Loading image…
No
Yes
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
If yes specify
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Does your child(ren) have any special requirements or medical needs?
Question Type
Loading image…
Yes
No
Other:
Add option
Answer key
(0 points)
Loading...
Loading…
Are there any religious or spiritual considerations the nanny should be aware of?
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
If yes specify
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Would the nanny be required to drive?
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
where did you hear about us
Question Type
Loading image…
Instagram
Whatsapp
Facebook
Tiktok
From a Friend
Google search
LinkedIn
Other:
Add option
Answer key
(0 points)
Loading...
Loading…
What are the expected duties?

Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Do you have a dog?
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Request for Domestic Assistant
Loading...
Loading…
What is your name?

Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Telephone number? 
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Preferred age range of the Domestic Assistant
Question Type
Loading image…
21-30
30 -35
Other:
Add option
Answer key
(0 points)
Loading...
Loading…
Is there anything else you'd like us to know about your  domestic assistance needs or preferences?
Question Type
Loading image…
yes
No
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
If yes specify
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Request for a caregiver
Loading...
Loading…
Telephone number?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Email 
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
What is the age of the aged person? 
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
What is your preferred location for your aged care services?  
Question Type
Loading image…
Home
Hospital
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Are there any specific qualifications or experience you are looking for in a care provider?  
Question Type
Loading image…
Yes
No
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
If yes specify: patient and empathetic, kind. Able to engage my mother in conversation. 
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Is there anything else you'd like us to know about your aged care needs or preferences NO 
Question Type
Loading image…
yes
No
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
If yes specify
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
What type of services are you looking for? Live in 
Question Type
Loading image…
Live- in
Live- out
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Request for a Personal Tutor
Loading...
Loading…
What is your child's name?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Telephone number
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Email
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
What grade or level is your child in?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
what subject does your child need help with?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
What is your preferred schedule for tutoring?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
What is your budget for tutoring?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
How long do you want each schedule?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Is there anything else you'd like us to know about your child's need or preference?
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Link to Sheets
Message for respondents
This form is no longer accepting responses
Insights
Total points distribution
Loading...
Loading responses…
Request for Domestic Help
Copy chart
No responses yet for this question.
0556657648Telephone number
Copy chart
No responses yet for this question.
Email
Copy chart
No responses yet for this question.
What is your household make up
Copy chart
No responses yet for this question.
where do you reside?  
Copy chart
No responses yet for this question.
Number of children?  
Copy chart
No responses yet for this question.
Education background 
Copy chart
No responses yet for this question.
Age of child(ren)?  
Copy chart
No responses yet for this question.
How long do you plan to employ a Nanny?
Copy chart
No responses yet for this question.
Select your preferred service
Copy chart
No responses yet for this question.
Preferred age range of nanny
Copy chart
No responses yet for this question.
Accommodation type for a live-in Nanny help?
Copy chart
No responses yet for this question.
Nanny schedule. 
Copy chart
No responses yet for this question.
Would you want your nanny to play a role in child's discipline?
Copy chart
No responses yet for this question.
If yes specify 
Copy chart
No responses yet for this question.
Are there any activities you specifically do not want the nanny to do with the children?
Copy chart
No responses yet for this question.
If yes specify
Copy chart
No responses yet for this question.
Does your child(ren) have any special requirements or medical needs?
Copy chart
No responses yet for this question.
Are there any religious or spiritual considerations the nanny should be aware of?
Copy chart
No responses yet for this question.
If yes specify
Copy chart
No responses yet for this question.
Would the nanny be required to drive?
Copy chart
No responses yet for this question.
where did you hear about us
Copy chart
No responses yet for this question.
What are the expected duties?

Copy chart
No responses yet for this question.
Do you have a dog?
Copy chart
No responses yet for this question.
Request for Domestic Assistant
What is your name?

Copy chart
No responses yet for this question.
Telephone number? 
Copy chart
No responses yet for this question.
Preferred age range of the Domestic Assistant
Copy chart
No responses yet for this question.
Is there anything else you'd like us to know about your  domestic assistance needs or preferences?
Copy chart
No responses yet for this question.
If yes specify
Copy chart
No responses yet for this question.
Request for a caregiver
Telephone number?
Copy chart
No responses yet for this question.
Email 
Copy chart
No responses yet for this question.
What is the age of the aged person? 
Copy chart
No responses yet for this question.
What is your preferred location for your aged care services?  
Copy chart
No responses yet for this question.
Are there any specific qualifications or experience you are looking for in a care provider?  
Copy chart
No responses yet for this question.
If yes specify: patient and empathetic, kind. Able to engage my mother in conversation. 
Copy chart
No responses yet for this question.
Is there anything else you'd like us to know about your aged care needs or preferences NO 
Copy chart
No responses yet for this question.
If yes specify
Copy chart
No responses yet for this question.
What type of services are you looking for? Live in 
Copy chart
No responses yet for this question.
Request for a Personal Tutor
What is your child's name?
Copy chart
No responses yet for this question.
Telephone number
Copy chart
No responses yet for this question.
Email
Copy chart
No responses yet for this question.
What grade or level is your child in?
Copy chart
No responses yet for this question.
what subject does your child need help with?
No responses yet for this question.
What is your preferred schedule for tutoring?
Copy chart
No responses yet for this question.
What is your budget for tutoring?
Copy chart
No responses yet for this question.
How long do you want each schedule?
Copy chart
No responses yet for this question.
Is there anything else you'd like us to know about your child's need or preference?
No responses yet for this question.
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions
.