Questionnaire Please enable JavaScript in your browser to complete this form. - Step 1 of 6LayoutPhone Number *Note: Verifying phone number can stop helpers from repeatedly completing the survey and giving themselves positive reviews. Your contact details will not be shared with anyone else.Verification Question * = Obtain verification codeLayoutSMS verification code (Some mobile phone auto-deletes SMS code message, pls recover the SMS in recycle bin) *ReturnNext01.Helper's name (Unless agreed by the Helper, DO NOT disclose full name, suggest to replace part of given name with XXX) (Required) *FirstLast02.Date of birth（Required） *03.Helper's nationality（Required) *FilipinoIndonesianNepaleseBangladeshMyanmareseThaiVietnameseOthers, please specifyHelper's nationality *Layout04. Job commencement date（Required） *Employment end date (If still employed, please leave it blank)05.Helper's oral English proficiency (Required) *FluentIntermediateBasicDon't speak EnglishDon't know06.Helper's oral Chinese proficiency (Required） *FluentIntermediateBasicDon't speak ChineseDon't knowReturnNext07.Helper's duty during the period of service (Required） *Taking care of babyTaking care of elderly/disabledTaking care of childrenTaking care of petCookingGeneral housekeepingOther (please specify)Helper's duty during the period of service (Required） *08. Experience in cooking as a domestic helper during employment (Required) *Chinese CuisineWestern CuisineArabic CuisineOther CuisineNo need to cookExperience in cooking as a domestic helper during employment *09. Do you agree that domestic helpers can do the following: (1 star for strongly disagree, 5 stars for strongly agree)11. Do you agree that domestic helpers can do the following: (1 star for strongly disagree, 5 stars for strongly agree)Able to follow instructionsRate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Good safety awarenessRate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Good hygiene awarenessRate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Good relationship with the employer's familyRate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Diligent and responsibleRate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Good memoryRate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5No bad habitsRate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5PoliteRate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Take care of household itemsRate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Good communication skillsRate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5HonestRate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 510. Serious problems committed by domestic helpers during employment (Leave blank if none of these apply)DrugSmoking and drinking during workSexual harassmentBorrowing moneyStealEngage in promiscuous behaviorFraudIntentional poor performanceUnreasonable termination/disappearanceReturnNext11.General comments (optional)12. How did you hear about us? (Required) *GoogleFacebookWhatsappFlyer/PosterIntroduction from family and friendsOther13. Email Address (Required) *14. WhatsApp Number (Required) *(Note: Unless we obtain your consent, we will not disclose your contact information to anyone.)ReturnNext15. Photos/videos/useful information and evidence of foreign helpers (such as letters from financial companies)(Max. 5 documents) Click or drag a file to this area to upload. (Note: If the uploaded documents involve personal info, pls cover it up before uploading, even the doc will not be disclosed to anyone.)15. Photos/videos/useful information and evidence of foreign helpers (such as letters from financial companies)(Max. 5 documents) (2nd doc) Click or drag a file to this area to upload. (Note: If the uploaded documents involve personal info, pls cover it up before uploading, even the doc will not be disclosed to anyone.)15. Photos/videos/useful information and evidence of foreign helpers (such as letters from financial companies)(Max. 5 documents) (3rd doc) Click or drag a file to this area to upload. (Note: If the uploaded documents involve personal info, pls cover it up before uploading, even the doc will not be disclosed to anyone.)15. Photos/videos/useful information and evidence of foreign helpers (such as letters from financial companies)(Max. 5 documents) (4th doc) Click or drag a file to this area to upload. (Note: If the uploaded documents involve personal info, pls cover it up before uploading, even the doc will not be disclosed to anyone.)15. Photos/videos/useful information and evidence of foreign helpers (such as letters from financial companies)(Max. 5 documents) (5th doc) Click or drag a file to this area to upload. (Note: If the uploaded documents involve personal info, pls cover it up before uploading, even the doc will not be disclosed to anyone.)Return Submit
