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Customer Survey
Contact Information
First Name:
Last Name:
Day Phone Number:
Evening Phone Number:
Fax Number:
Email Address:
Address
Address Line 1:
Address Line 2:
City:
Province:
Does not Matter
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Not Selected
Country:
Postal Code / Zip:
Nanny/Caregiver Information
Is your nanny/caregiver live-in or live-out?
Live In
Live Out
Was your nanny/caregiver found locally or from overseas?
Locally
Over Seas
Information Package
Did you request our information package?
Yes
No
Did you find its contents helpful?
Yes
No
Was it forwarded to you in a timely manner?
Yes
No
Is there anything in the information package that can be improved upon?
In your opinion, what are the strenghts of International Nannies and Homecare Ltd.?
In your opinion, what are the weaknesses of International Nannies & Homecare Ltd.?
Would you recommend International Nannies & Homecare Ltd.
Yes
No
If no, please explain:
May International Nannies & Homecare Ltd. use you as a reference for future clients? (You will only be contacted a maximum of 3 times)
Yes
No
If yes, please provide the best number to contact you:
Best day & time to reach you?
Was there an agent that was particularly helpful to you?
Yes
No
If yes, who was the agent? Please feel free to include any comments on their service.
Please provide any further comments, ideas and suggestions:
How did you hear about us?
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