CLIENT PROFILE QUESTIONNAIRE
IF IN NEED OF A NANNY, PLEASE LIST YOUR CHILD(REN) AGE(S).
DO YOU HAVE ANY OTHER DOMESTIC HELP IN YOUR HOME? *
Thank you for taking the time to complete our Client Profile Questionnaire.
A local representative will be contacting you soon!!
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EMG
INTERNATIONAL DOMESTIC SEARCH FIRM
Copyright © 2005-2011  Eternity Marketing Group, Inc. All rights reserved.
Required questions are denoted by (*)
CLIENT NAME *
SPOUSE NAME
PHONE NUMBER *
ALT. NUMBER
ADDRESS *
CITY, STATE or PROVINCE *
ZIP CODE *
EMAIL ADDRESS *
DESIRED POSITION TO BE FILLED *
POTENTIAL START DATE *
DO YOU NEED A LIVE-IN OR LIVE-OUT? *
DO YOU NEED SOMEONE FULL-TIME OR PART-TIME? *
HOURS OF EMPLOYMENT *
DO YOU REQUIRE TRANSPORTATION?
WHAT IS THE SQUARE FOOTAGE OF YOUR HOME?
HOW MANY BEDROOMS? *
HOW MANY BATHROOMS? *
DO YOU HAVE ANY PETS? *
YES
NO
IF YES, HOW MANY AND WHAT KIND?
WILL COOKING OR PREPARING MEALS BE REQUIRED? *
YES
NO
ARE THERE ANY EXPERIENCE REQUIREMENTS? *
YES
NO
IF YES, PLEASE SPECIFY.
DO YOU HAVE A PREFERENCE IN CULTURAL NEEDS? *
NO
YES
IF YES, WHAT IS YOUR PREFERENCE?
NO
YES
IF YES, PLEASE SPECIFY.
DO YOU HAVE A SALARY IN MIND?* (Salaries range from $12.50/hr and up depending on the demands of the position)  
YES
NO
IF YES, PLEASE SPECIFY.
Please list any additional information or job requirements to help us in identifying a qualified applicant:
HOW DID YOU HEAR ABOUT US?
IF OTHER, PLEASE SPECIFY.
BEST TIME TO CONTACT: