Recommendation Form

At GHCaregivers we aim to continously improve our service to ensure that we meet and even exceed customer expectations. We would greatly appreciate your assistance in helping achieve that aim by completing this short survey form. We thank you in advance for your support.

* Required

Customer Name:

Babysitter's Name:

Contact Information:

Today's Date:

Date & Time of session:

Email:

Please rate the following 1 through 5 by ticking the appropriate box:

	Excellent	Very Good	Good	Okay	Poor
1. Was the babysitter dressed professionally?
2. How was their communication skills?
3. Did they follow your instructions?
4. Did they conduct themselves professionally?
5. We're they friendly?
6. Overall, how would you rate the babysitter?

Would you recommend the babysitter?

Yes No

Any Comments or Suggestions:

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