ClientsInformation Form SECTION 1: Contact Information Full Name Phone number Email Address Place of Residence SECTION 2: Personal Info (Optional for Matching Purposes) Nationality Marital Status Religion Tribe NIN (optional) SECTION 3: Household Details Style of Home ApartmentBungalow2+ Storied House Number of Bedrooms 12345More than 5 Compound Available? YesNo Children/Dependents? Number: Age Range Gender MaleFemaleBoth SECTION 4: Domestic Worker Needs Number of Maids Needed 12345 Preferred Gender MaleFemaleNo Preference Live-in or Live-out? Live-inLive-out When Do You Need Them to Start? / Date SECTION 5: Skills & Job Expectations What tasks should the staff handle? (Tick all that apply) CleaningCookingLaundryNanny/BabycareGardening / SlashingElderly CareSecurity / WatchmanElectronics/Appliance UsePet CareOther Experience required? ExperiencedInexperienced (Can Train)Either SECTION 6: Preferences & Support Any specific preferences? (e.g., age, tribe, religion) How long do you want them to work with you? Short-term (under 6 months)Long-term (6+ months)Indefinite What will you provide? (Tick all that apply) Salary (Minimum UGX 200,000/-)HousingUniformsMedical careSanitary needsDay-offMeals SECTION 7: Previous Experience Have you hired maids before? YesNo If yes, why did the last one leave? Any dislikes or deal breakers? SECTION 7: Final Info How did you hear about Bezalelz? Friend/ReferralSocial MediaWebsiteWhatsAppOther If referral, please include contact Any other comments or suggestions?
