Live In Care Consultation By Email

 The reply will be via email; if you would like the consultation and brochure sent via Canada Post,

 please provide complete address information 

 
 Name
Address
City    Prov.     PC   
TelephoneDaytime Phone Contact #     Cell     
E-mail    Please Call Me ASAP 

Please Check All Boxes That Apply a

 
Bathing Assistance     Doctor Appointments   Dressing/Grooming   Physical Therapy Assistance 
Meal Prep     Shopping   Errands 
Laundry    Ironing  Dusting    Vacuuming (light)  
Vacuum (thorough) Bathroom Tidy   Bathroom Clean
Sweep Floors    Wash Floors   Change Bed Linens
Light Housekeeping Kitchen Cleanup
Caregiver Needs CarCaregiver doesn't need car 
Temporary Under 1 yr Permanent  Minimum 1 year
Accommodation: Live In Caregiver 
Languages  
Start Date
Evening Hours Req'd

If so, please give details

Working Hours Req'd
Service Address City +Main Intersection
Children'sAge(s)   #1  #2 #3#4
MonthlySalary$
Smoker
Pets
Laundry machines
Other Health Issues

How did you hear about Guardian Angel Care? 

       

  Other Search Engine  Yahoo      Google    
Placement Fees Print Ad (news, magazine) 
Please Call Me ASAP 

 

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