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 | NOT AFRAID OF PETS |
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 | YES | 4
SIBLING: 4 MONTHS EMPLOYER :1 YEAR OLD |
| Care of elderly | YES | YES | 4
MOTHER OF EMPLOYER: 74 YEARS OLD |
| Care of disabled | YES | NO | 4 |
| General housework | YES | YES | 4 |
| Cooking
Please specify cuisines: |
YES | YES | 4
BASIC FIIPINO CUISINES |
| Language abilities (spoken) | YES | 4
TAGALOG & ENGLISH |
|
| Other skills, if any |
Employment History Overseas
| Date | Country (including FDW’s home) |
Employer | Work Duties | Remarks | |
|---|---|---|---|---|---|
| From | To | ||||
| 2018 | 2022 | PHILIPPINES |
FILIPINO |
LONG:4 YEARS FAM:SIR, MOM, MOTHER OF EMPLOYER, 2 CHILDREN 7, 1 Y/O HOUSE TYPE:FLAT HOUSE (3 BEDROOMS. 1 TOILET, 1 KITCHEN, 1 LIVING ROOM) MAIN DUTIES:
|
– |