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Required questions are denoted by (*)
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CLIENT NAME *
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SPOUSE NAME
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PHONE NUMBER *
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ALT. NUMBER
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ADDRESS *
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CITY, STATE *
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ZIP CODE *
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EMAIL ADDRESS *
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DESIRED POSITION TO BE FILLED *
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POTENTIAL START DATE *
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DO YOU NEED A LIVE-IN OR LIVE-OUT? *
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DO YOU NEED SOMEONE FULL-TIME OR PART-TIME? *
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HOURS OF EMPLOYMENT *
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DO YOU REQUIRE TRANSPORTATION?
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IF IN NEED OF A NANNY, PLEASE LIST YOUR CHILD(REN'S) AGE(S).
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WHAT IS THE SQUARE FOOTAGE OF YOUR HOME?
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HOW MANY BEDROOMS? *
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HOW MANY BATHROOMS? *
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DO YOU HAVE ANY PETS? *
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YES
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NO
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IF YES, HOW MANY AND WHAT KIND?
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WILL COOKING OR PREPARING MEALS BE REQUIRED? *
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YES
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NO
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ARE THERE ANY EXPERIENCE REQUIREMENTS? *
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NO
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YES
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IF YES, PLEASE EXPLAIN.
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DO YOU HAVE ANY SPECIFIC CULTURAL REQUIREMENTS OR NEEDS? *
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NO
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YES
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IF YES, PLEASE EXPLAIN.
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DO YOU HAVE ANY OTHER DOMESTIC HELP IN YOUR HOME? *
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YES
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NO
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IF YES, PLEASE SPECIFY.
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DO YOU HAVE A SALARY IN MIND? *
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YES
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NO
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IF YES, PLEASE SPECIFY.
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Please list any additional information or job requirements to
help us in identifying a qualified applicant:
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HOW DID YOU HEAR ABOUT US?
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IF OTHER, PLEASE SPECIFY.
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BEST TIME TO CONTACT:
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Thank you for taking the time to complete our Client Profile Questionnaire.
A local representative will be contacting you soon!!
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