Above & Beyond Nanny Services, Inc.
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Check In Form
ABN Form 1
Thank you for contacting us! If needed, you will hear back within 48-72 hours.
Email:
*
Check here to receive email updates
Please describe any other details you wish to share or precautions you are taking:
*
Do you or your household members work remotely at home, or leave for work?
Do you have any household members who work in high-risk situations?
Yes
No
Phone Number:
*
Have you received the COVID vaccine?
Yes
No
Do you have any close family members you are socially distancing for?
*
Name:
*
Would you be willing to adjust your precautions to align with the family's?
Yes
No
Of the three levels, which most accurately reflects your current level of precautions?
Level 1
Level 2
Level 3
This form will help match you with families with similar COVID levels of exposure and precautions!
The more details the better!
Are you socially distancing?
Yes
No
Have you received just Dose one? or both doses?
Both
Just dose one
Are you willing to limit your exposure with friends and others?
Yes
No
Please add a photo of your Covid card
We were unable to upload your file. Please ensure your file is 10MB or smaller in size.
How many people are in your household?
0-1
1-2
2-3
4+
Do you wear a mask in public?
Yes
No
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