Customer Survey

Contact Information
First Name:
Last Name:
Day Phone Number:
Evening Phone Number:
Fax Number:
Email Address:

Address Line 1:
Address Line 2:
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?
Yes No (You will only be contacted a maximum of 3 times)
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?