Free sign-in questionnaire You can fill up this questionnaire on-line or download a printable version by clicking the PDF icon: How many hours will the Au pair be alone athome with the children? Do you have any disabled child? yes no Do you attend any religious service? yes no Do you live in an apartment or a house? Please, make a brief description of your house Do you have a room for the Aupair? yes no Is there enough Light and room? yes no Do you have any public transportation toarrive to the city centre? What date would you like the Aupair to arrive? How long do you need the Au pair to stay? How many hours daily? What tasks will she have? What duties will she have with children? What language would you like the Au pairspeak with the children? What language is mainly spoken in your family? Do you smoke at home? yes no Would you accept a smoker who will respect thedomestic places and children? yes no Do you have any pets? yes no Would you like the Au pair to take care of your pets? yes no Another daily tasks for the Au pair Will you accept her as a member of the family? yes no Will you agree the weekly salary with the agencyaccording to the number of worked hours? Write a short welcome message for the Au pair.You can add a brief family description. What are the main characteristics you thinkan Au pair should have? make the list of preference of nationalities. By checking this I herewith confirm that all my statementsconcerning my application are true. I am aware that myapplication and the enclosures cannot be returned to me.