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What is your name and email?
   
 
 
 
What are the names and ages of your children?
   
 
 
 
How often do you need Rosa to babysit?
 
Daily
 
Multiple times a week
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
How would you describe Rosa as a person?
   
 
 
 
How would you describe Rosa's interaction with the children?
   
 
 
 
How satisfied are you with Rosa's services?
Extremely Unsatisfied
Unsatisfied
Neutral
Satisfied
Extremely Satisfied
 
 
 
How is Rosa's tidiness?
Extremely Unsatisfied
Unsatisfied
Neutral
Satisfied
Extremely Satisfied
 
 
 
How satisfied are you with Rosa overall?
Extremely Unsatisfied
Unsatisfied
Neutral
Satisfied
Extremely Satisfied
 
 
 
Would you like to add something?