Family Profile Questionnaire

Thank you for choosing Pair & Care! Please complete the following form to help us understand your family’s unique needs and preferences. The form will be used in our consultation to guide a job-build and interview process for your caregiver. This should be detailed, but we will have time to review together after so you can share more then.

Name

Primary Guardian

First Name

Last Name

Name

Secondary Guardian

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child(ren) Information

Names | Ages | Genders | Pronouns | Etc.

Are there any special needs, allergies, or medical conditions that a caregiver would need special qualifications for, or anything relevant to this that we should know about?

What are your child(ren)’s favorite activities, hobbies, or interests?

Do you have specific educational, developmental, or social/emotional goals for your child(ren) that this caregiver should be working towards?

Caregiver Preferences

What type of caregiver are you looking for?

Are there specific qualities or skills you are seeking in a caregiver?

Do you prefer your caregiver to have certain certifications (e.g., CPR, first aid)?

Do you have preferences regarding the caregiver’s experience level, or background?

Are there specific cultural values or practices you’d like the caregiver to align with?

Scheduling Needs

What days and hours do you require childcare?

Do you need flexibility for evenings, weekends, or extended travel? Please describe:

If you forsee needing support for travel, are you expecting your nanny to be available to possibly travel with you and your family, or do you envision them needing to stay back at your house with your kids during your travels? Please describe:

When are you hopeful to have your caregiver start?

Please note most searches take a minimum of 6-8 weeks.

Household Information

Please describe any household pets you have, and anything your caregiver might need to do for/with your pets.

Will the caregiver need to drive your vehicle, or are they required to have their own transportation for your children? Please describe:

Are there any specific household details that might include or exclude a caregiver from accepting this position

Pay and Rates

What rate are you planning to pay at?

How much are you looking to pay?

Please specify hourly/salary/etc. even if its different from the above question

How are you planning to pay your nanny?

Additional Information

Is there anything else we should know about your family to help us find the perfect caregiver match?

Family Profile Questionnaire

Location

Hours

Contact