I. Parent & Contact Information Parent One – Contact Information
3. Kindly enter your email address here*
Parent Two – Contact Information
II. Household & Emergency Information 2. Service Address (if different)
III.Private Household Placement Request 1. Which professional service are you requesting?*
2. What is your preferred investment range for professional services?*
3. Ideal Date to Begin Personalized Services*
4. Preferred Care & Schedule*
5. Requested Service Schedule — Days & Hours*
6. Placement Duration & Continuity*
IV. Family Background & Lifestyle 1. Total Children in Residence*
2. Children’s Names & Birthdates*
V. Exclusive Childcare Requirements If childcare is included in your requested placement:
1. Please provide any unique health, dietary, religious, or allergy considerations for your child(ren) to ensure a refined, personalized, and attentive childcare experience.*
VI. Residence & Family Environment 1. Please list any additional individuals residing in your home (e.g., grandparents, relatives, roommates, au pair, house manager).*
2. Kindly specify the style of your residence (house, condominium, apartment, etc.).*
3. If your home is pet-friendly, please provide details on your pets to ensure seamless integration into your household environment.*
4. Will your selected professional have any responsibilities involving your pets?
VII. Curated Language & Lifestyle Selections 1. Kindly indicate the languages spoken in your private residence
*
2. Please describe any household or childcare protocols, preferred tasks, activities, dietary guidelines, housekeeping standards, culinary preferences, privacy expectations, or established household routines your professional should follow.*
3. Do either of the parents maintain a professional schedule from home?*
VIII. Care & Engagement Guidelines 1. What are the primary duties you expect from your selected professional (childcare, household support, household management, residence care, meals, culinary support, etc.)?*
2. If childcare is included: Please list any specific activities or enrichment experiences you wish your professional to provide for your children.*
3. If childcare is included: Please indicate if homework support, educational guidance, or supplementary lessons (languages, music, etc.) are requested.*
4. Will your children require chauffeured or private transportation services?*
IX. Private Household Guidance & Culinary Care 1. Which responsibilities would you like your selected professional to manage?*
Private Residence Care — detailed housekeeping, deep cleaning, laundry and garment care, ironing, linen and bed care, closet and interior organization, kitchen and bathroom care, and attentive care of delicate surfaces, furnishings, finishes, and household items.
X. Guidance & Behavioral Philosophy
If childcare is included in your placement:
1. What is your preferred philosophy for nurturing behavior and handling challenges with empathy, structure, and calm authority?*
2. What core values, boundaries, or household philosophies would you like your professional to embody while nurturing and guiding your children?*
1. Are there any health considerations, allergies, special care requirements, household sensitivities, or safety protocols your professional should be mindful of to ensure your family's well-being?*
2. Would you prefer specialized credentials beyond our standard requirements, such as Early Childhood Education, Advanced Infant Care, Household Management, Professional Residence Care, or Culinary/Nutrition credentials?*
XII. Sleep Rituals & Nurturing Routines If childcare is included in your placement:
1. Please describe your child’s sleep rituals, nap schedules, and preferred parenting approaches so your professional may honor your family’s established rhythm.*
XIII. Personality & Engagement 1. Which qualities and personality traits are most important in your selected professional (e.g., nurturing, active, creative, patient, discreet, proactive, organized, detail-oriented)?*
If childcare is included:
2. How would you envision the ideal interactions between your professional and your children? Please describe.
*
3. How would you envision the ideal professional relationship between your selected professional and your household?
*
XIV. Cultural & Dietary Considerations 1. Please indicate any cultural, religious, dietary, or culinary practices your professional should uphold to align with your family's lifestyle.*
XV. Seamless Family Logistics 1. Do you prefer your professional to arrive using private transportation, or may they utilize public transit or walk to your home?*
2. Will travel with the family or support across multiple residences be required?
XVI. Professional Fit & Considerations 1. Are there particular red flags or considerations you wish to avoid (e.g., excessive screen time, lack of discretion, or other behaviors)?*
XVII. Additional Information & Discretionary Notes 1. Please share any additional information regarding your family, residence, lifestyle, expectations, or requested placement that will assist Our Good Nanny in thoughtfully identifying the appropriate professional for your household.*
XVIII. Family Intake and Candidate Introduction Form Please Download Family Intake Form Here:
Upload Signed Family Intake Form*
Authorized Family Member Name*
Authorized Family Signature* Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
