Description
Health and Preferences Information
| Question | Answer |
|---|---|
| Allergies (if any) | NO |
| Past and existing illnesses (including chronic ailments and illnesses requiring medication) | |
| i. Mental illness | NO |
| ii. Epilepsy | NO |
| iii. Asthma | NO |
| iv. Diabetes | NO |
| v. Hypertension | NO |
| vi. Tuberculosis | NO |
| vii. Heart disease | NO |
| viii. Malaria | NO |
| ix. Operations | NO |
| Others | – |
| Physical disabilities | NO |
| Dietary restrictions | NO |
| Food handling preferences | NO RESTRICTION |
| Preference for rest day | 1 rest day (s) per month |
| Any other remarks | – |
Areas of Work
| Areas of Work | Willingness Yes /No |
Experience Yes/No if yes, state the no. of years |
Assessment / Observation Please state qualitative observation of FDW and/or rate the FDW (indicate N.A. of no evaluation was done) Poor………………..Excellent…N.A 1 2 3 4 5 N.A |
|---|---|---|---|
| Care of infants / children | YES
NEWBORN TODDLER SCHOOL AGES |
YES | 4
EMPLOYER – TODDLER |
| Care of elderly | YES | YES
2 YEARS |
3
PATIENT 80 YEARS OLD |
| Care of disabled | YES | YES | 4 |
| General housework | YES | YES
2 YEARS |
GENERAL HOUSEWORK |
| Cooking
Please specify cuisines: |
YES | YES | SIMPLE FOOD |
| Language abilities (spoken) | YES | ENGLISH | |
| Other skills, if any |
Employment History Overseas
| Date | Country (including FDW’s home) |
Employer | Work Duties | Remarks | |
|---|---|---|---|---|---|
| From | To | ||||
| 2018 | 2020 | BUKIDNON, PHILIPPINES | FILIPINO | TAKING CARE OF OLD AGED PERSON AND DOING ALL HOUSEHOLD CHORES LIKE WASHING DISHES, WASHING CLOTHES, IRONING AND DO COOKING | |
| 2019 | 2021 | PHILIPPINES | FILIPINO | TAKING CARE OF TODDLER ( TAKING A BATH, FEEDING, PUTTING CHILDREN TO BED, MEAL PREPARATION) | |