Family questionnaire
This form is designed to help us match you with the ideal childcare provider for your family’s needs. Please answer honestly—your responses will remain confidential and will only be used to support the matching process.
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Is this a reoccurring or occasional service?
Start Date
-
Month
-
Day
Year
Date
Address
City
Zip Code
Do you require a phone interview or in person Interview?
Phone Interview
In Person Interview
Both
Neither
Other
How did you hear about Nanny Community?
Back
Next
Do you require specific certifications? (e.g., CPR, First Aid, Early Childhood Education)
Are you open to a younger sitter or would you prefer someone with a little more experience? Please explain.
How many children do you have, and what are their ages?
Do any of your children have special needs, allergies, or medical conditions
What are the children’s interests, personalities, and routines like?
What days and hours do you need childcare coverage?
Are you looking for a full-time, part-time, live-in, or live-out nanny?
Do you need flexibility for evenings, weekends, travel, or overnights? If so please explain.
How many hours a week will you need a sitter?
What days of the week will you need a sitter?
How long do you expect to retain your sitter? (ex: 1 year)
How would you describe your parenting style (e.g., structured, relaxed, Montessori-inspired, etc.)?
Besides childcare, what responsibilities would you like your sitter to handle?
Does your family need light housekeeping?
Yes
No
Sometimes
Open to the option
Does your family need meal prep?
Yes
No
Sometimes
Open to the option
Are there any specific educational activities or developmental goals you want the nanny to focus on?
Will the nanny need to drive the children or run errands?
Yes
No
Occasionally
Are there any house rules the nanny should enforce?
How do you prefer discipline to be handled?
What qualities are most important to you in a nanny (e.g., energetic, nurturing, experienced, firm)?
Are you open to a nanny who brings their own child?
Will the nanny have access to a car or public transportation nearby?
Are there pets in the home? If so, what kind of animals and how many?
Is smoking allowed inside or outside?
Inside
Outside
Not at all
Other
What is your hourly rate or salary range for the sitter?
Are you offering benefits like paid vacation, sick leave, holidays, or health insurance?
How often would you like updates from the nanny during the day (texts, photos, written notes)?
How do you prefer to handle feedback or concerns (formal meetings, quick chats, written notes)?
Are you open to a trial period to ensure a good match?
Will you be using a nanny contract or work agreement?
Are there any absolute dealbreakers we should be aware of when selecting candidates?
What are the expectations for screen time?
How will you handle paying your sitter? Ex. Cash, Check, Deposit, etc.
Submit
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