For nannies
Nanny and family schedule interview and nanny assessment of the family form
Website, app or agency's name ___________________________Agency phone number ___________________________ Family pays: $_____.00
Rate this family (after you interviewed her) with a YES from 5+ to 10, or, NO or, -5: _________
Interview date: __________ time: __________
Family Name: ______________________________________________ Name: ________________________ and ____________________________
child's name: _______________________________, child's name: ______________________________, child's name: _______________________
Address: _______________________________________________________________________________ Zip Code: _________________________
Phone number: _______________________________
Job description: ____________________________________________________________________________________________________________
Number of children: _______
Notes: _____________________________________________________________________________________________________________________
What you liked about this family:
What you didn't like about this family: