Health Care Professional Screening Questionnaire
This form allows RestUp to do a better job serving your professional goals and intent for using the RestUp platform.
Email address *
What is your first name? *
Your answer
What is your last name? *
Your answer
What is your phone number? *
Your answer
Tell me why you signed up to be a Caregiver with RestUp? *
What is the length of your ideal shift? *
Required
What is the timing of your ideal shift? *
Required
What days of the week are ideal for you to work extra shifts? *
Required
How many hours are you hoping to get through RestUp? *
What’s your preferred Health Care Facility setting? *
Are there any HCF settings you are not willing to work in? *
Do you have any restrictions or limitations on the type of work you can do? *
Do you have your own professional HCF attire? Nametag? Equipment? (pen, stethoscope, pulse ox, BP cuff, etc.) *
Do you carry professional liability insurance? *
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