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Simple Home Management Intake Form
Thank you for your interest in working with me!
Please take your time and fill out this form as completely as possible.
Try not to take any shortcuts or give one word answers.
That way I get a good idea of how best to support you.
First name
*
Last name
*
Email address
*
Phone number
*
What are your pronouns?
*
Not sure why you're being asked this question?
What are your pronouns?
She/her
He/him
They/them
Other
Where in Trinidad & Tobago is your home located? Specify by village/town/city.
*
Untitled multiple choice field
A
Yes
*
B
No
Where are you based abroad when you're not living in your home? Specify by country and where applicable, city and state.
*
What kind of home is it?
*
What kind of home is it?
A
Single family house
B
Apartment
C
Townhouse
D
Condominium
E
Other (describe below):
Describe the route to access your home. (e.g. easy drive, rough roads)
*
Are there any legal issues or major concerns related to your property? (e.g. dispute over ownership, high risk for flooding)
*
Why do you need home management?
*
What do you need specific help with? Describe in detail below.
*
Do you need pet care?
*
Do you need pet care?
A
Yes
B
No
-If yes, describe animal care requirements below.
*
Do you need plant care?
*
Do you need plant care?
A
Yes
B
No
-If yes, describe plant care requirements below.
*
How long will you need home management for? Specify in days, weeks or months.
*
How did you find out about Simple Home Management?
*
How did you find out about Simple Home Management?
Friend/Family/Colleague
Website
Instagram
Facebook
Twitter
Threads
Web search (e.g. Google, Bing)
Do you have any other questions or comments? Share them here!
Submit