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20 Caregiver Questionnaire

  • Do you have a permanent resident? Where? 

  • Do you have any dependents? children, parents.

  • Do you have any health problems that might interfere with the caregiving position?

  • Do you smoke?

  • What are your hobbies? What do you like to do in your leisure time?

  • Are you available as a live-in caregiver? How many days a week?

  • Do you have any criminal records?

  • Are you planning any future vacations?

  • Are you a California resident? Do you have a working permit?

  • Do you have any pets?

  • Do you know first aid?

  • What are your most important qualities that you possess as a caregiver?

  • Are you on any medication?

  • What do you like most about being a caregiver?

  • What do you like least about being a caregiver? 

 

 

 
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