Staff Hours Survey

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

What hours do you currently work?(Required)

Short Hourly Shifts

Long / Block Hours

When do you prefer to work?

check all that apply

Days

Nights

Weekdays

Weekends

Are you working the hours/schedule you want to work?(Required)

YES

NO

Would you be interested in picking up OVERNIGHT SHIFTS?

YES

NO

What is your current availability?(Required)

Fill in the days of the week and hours you'd like to be working for ABC.

Do you know someone who would make a great addition to our ABC Team of caregivers?

Refer a friend and you both can earn up to $1000!

Yes

No

We'd like to reach out and see if your friend wants to join our team of caregivers.

Name

First Last

Phone

Have your friend go to www.abchhp.com/apply-online Have them put your name in the "who referred you" box! If they join our team, both you and your friend can earn up to $1000!

Additional comments you want to share?

Phone

Δ