YMA Lifestyle Options

Exit Survey

Contact Information

First Name :

Last Name :

Address 1 :

Address 2 :

City :

State :

Zip :

Phone :

Email Address :

What is your current place of employment and your title?

What is your marital status?

Married

Single

Divorced

Widowed

Do you have any kids? If yes, what are the names and ages of all the kids within the home?

What type of Your Mommy Assistant plan best fits your immediate lifestyle needs?
*Total hours may be split evenly between task & career goals or you may choose to use total hours on an individual goal category Task or Career your choice one of the two.

Less Stress: 4 hrs averaging an hr per Goal more or less not to exceed Plan hrs.

Freedom Plan: 6 hrs averaging an hr per Goal more or less not to exceed Plan hrs.

Executive Plan: 11 hrs averaging an hr per Goal more or less not to exceed Plan hrs.

Presidential Plan: 16 hrs averaging an hr per Goal more or less not to exceed Plan hrs.

Partnership: In-Home Evaluation

CHOOSE YOUR LIFESTYLE PLAN TASK GOALS
*Total hours may be split evenly between task & career goals or you may choose to use total hours on an individual goal category Task or Career your choice one of the two.

Less Stress Plan:
4 hrs averaging an hr per Goal more or less not to exceed Plan hrs i.e.

2 Task Goals 1 hr each 2 Career Goals 1 hr each totaling 4 hrs.
1 Task Goals 2 hr each 1 Career Goals 2 hr each totaling 4 hrs.

Freedom Plan:
6 hrs averaging an hr per Goal more or less not to exceed Plan hrs.

Executive Plan:
11 hrs averaging an hr per Goal more or less not to exceed Plan hrs.

Presidential Plan:
16 hrs averaging an hr per Goal more or less not to exceed Plan hrs.

Partnership Plan:
In Home evaluation for a more in depth plan of execution on a regular basis.

CHOOSE YOUR LIFESTYLE PLAN CAREER GOALS

Less Stress Plan:
4 hrs averaging an hr per Goal more or less not to exceed Plan hrs i.e.

2 Task Goals 1 hr each 2 Career Goals 1 hr each totaling 4 hrs.
1 Task Goals 2 hr each 1 Career Goals 2 hr each totaling 4 hrs.

Freedom Plan:
6 hrs averaging an hr per Goal more or less not to exceed Plan hrs.

Executive Plan:
11 hrs averaging an hr per Goal more or less not to exceed Plan hrs.

Presidential Plan:
16 hrs averaging an hr per Goal more or less not to exceed Plan hrs.

Partnership Plan:
In Home evaluation for a more in depth plan of execution on a regular basis.