Staff Hours Survey
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ABC CAREGIVING TEAM: How's your schedule?
Please answer the questions below regarding your work schedule.
Your Name:
(Required)
First
Last
What is your current position at ABC?
Home Health Aide / CNA
PC-Homemaker
Homemaker
Companion
Chore Worker
Live-in Caregiver
Are you currently working the hours you prefer?
(Required)
YES
NO
What is your current availability?
(Required)
Check the days of the week you would like to be working for ABC. (check all that apply)
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What HOURS/SHIFTS are you available?
(Required)
Write the hours (start shift - end shift) you want to work at ABC.
Anything else you want to share with us?
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