Family Interview Form PDF Details

When it comes to family-oriented tasks, few documents are as comprehensive and essential as the Family Interview Form. This form is designed to provide caregivers, such as babysitters, with all the critical information needed to ensure a safe, secure, and engaging environment for children in their care. From basic family details and emergency contact numbers to preferences about discipline, play, and household routines, it covers a vast range of topics. The form includes sections on medical information like allergies, medications, and preferred hospitals, alongside safety measures including fire escape plans and emergency kits. It also dives into specifics about daily routines, dietary restrictions, and how to handle quiet time or bedtime. The form even asks for instructions regarding the family's pets and outlines the expectations for managing household tasks. By bridging communication gaps, the Family Interview Form stands out as a pivotal tool in fostering a professional and prepared caregiving setup, ensuring that children's needs are met with understanding and efficiency. Such thorough preparation also helps in building trust between parents and caregivers, making it easier for everyone involved to feel confident and secure in the childcare arrangement.

QuestionAnswer
Form NameFamily Interview Form
Form Length6 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 30 sec
Other namesfamily interview form for babysitting, family interview form, parent interview for babysitting, red cross family interview form

Form Preview Example

Family INTERVIEW FORM

Family Information and Emergency Numbers

Todays date: ____________________________________________________________

Family name: ____________________________________________________________

Home phone number: _____________________________________________________

Address: ________________________________________________________________

E-mail address: ___________________________________________________________

Nearest cross-street: ______________________________________________________

Phone number where parent can be reached during babysitting job: ______________

 

 

 

 

 

Medical

 

Child’s name

Age

Weight

Medicines

Allergies

problems

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mobile phone number: ____________________________________________________

Neighbors name and phone number: ________________________________________

Name and phone number of an adult who can make decisions if the parent cannot

be reached: _____________________________________________________________

Local emergency phone number: ___________________________________________

Doctors name: ___________________________________________________________

Doctors phone number: ___________________________________________________

Name of preferred hospital to be used in an emergency: _________________________

National Poison Control Center (PCC) hotline: (800) 222-1222

FAMILY INTERVIE W FORM

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Household Ruls and Discipline

1.What are the household rules?

2.How would you like me to handle misbehavior?

3.Do the children need to complete any homework or chores? If so, when should the children complete their homework or chores? Will they need assistance?

Safty and Play

1.Would you take me on a tour of your house?

2.I would like to go over the Safety Inspection Checklist with you. Is that okay?

3.Does your family have a ire escape plan? If not, can you have one in place before I begin?

4.Do your children know what to do in a ire emergency?

Nte: Familis can ind out more about how to be prepared for irs and ther emergencis by contacting their local American Red Cros chapter or visiting www.redcross.org/disaster/masters/.

5.Does your house have working smoke alarms? Carbon monoxide alarm? Fire extinguisher? Where is the shut-of valve for water, electricity and gas?

6.Is it okay to take the children outside to play?

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FAMILY INTERVIE W FORM

7.Should I apply insect repellant or sunscreen to the children before they play outside? If so, what insect repellant or sunscreen should I use? Do any of the children have allergies or sensitivities to any of them?

8.Do you have any pets that I need to care for? Are they friendly to strangers?

9.May I meet your children (and pets) before I babysit?

10.What are your familys rules for play? What are your familys rules for watching TV, using the computer and playing video games?

11.What are your childrens favorite toys and play activities?

12.Are there any play areas, toys or activities that are of-limits or restricted?

13.How do I work the door and window locks?

14.Do you have an electronic security system? Would you like me to use it and can you please show me how it works? What should I do if it is mistakenly set of?

15.Where is your irst aid kit kept?

FAMILY INTERVIE W FORM

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16. Where is your emergency preparedness kit kept?

Nte: Familis can ind out more about how to prepare for emergencis by contacting their local American Red Cros chapter or visiting www.redcross.org/disaster/masters/.

17. Is there a spare house key for me to use?

Basic Child Care

1.How do you want me to handle hand washing?

2.How do you want me to handle brushing and lossing teeth?

3.What can your children eat and drink? Do they have any food allergies?

4.Will I be preparing any simple meals?

5.What are the routines for diapering and/or using the toilet? Where are baby wipes and cleaning materials kept? Where do you want me to put dirty diapers and soiled disposable gloves?

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FAMILY INTERVIE W FORM

6.What are the routines for quiet time, bedtime and naps? When is bedtime? Do your children have a favorite bedtime story? Do they like a light on? Do you prefer their door open or closed? Do they sleep with particular blankets or stufed animals?

7.What do you want your children to wear for outdoor play? For naptime? For bedtime?

8.Where do I put dirty clothing?

9.Would you please show me any special equipment I might be using to take care of the children?

10.Are there any medical conditions or medications that I should be aware of? If the child is taking medication, where is it kept? Would you please ill out this Parental Consent and Contact Form? Does your child have an AAP Emergency Information Form for Children With Special Health Care Needs? Would you provide a copy that I can give to EMS and/or hospital personnel in case of an emergency? Are there special instructions or precautions I should be aware of?

Nte: If the parents do nt ill out the Parental Consent and Contact Form you should nt give the children any medications.

11.Do your children have any other speciic care needs or routines that I should know about (e.g., tutoring, music or sports practice, faith practices)?

12.Do your pets need any special care?

13.Is there anything else I need to be aware of?

FAMILY INTERVIE W FORM

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Busins Basics

1.What is the date and beginning and ending time of the job?

2.Should I answer the phone? If so, how should I do so?

3.Are there any rules I should observe in your home? May I use the TV, radio or computer?

4.May I make a short personal call? Am I allowed to do homework once the children are asleep? May I ix a snack?

5.I usually charge $_______ for my hourly rate. Is that okay?

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FAMILY INTERVIE W FORM

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Filling out this document will require care for details. Ensure that all necessary fields are done accurately.

1. When filling out the babysitting interview form, make sure to incorporate all of the essential blank fields within its relevant form section. This will help to facilitate the process, which allows your details to be processed fast and appropriately.

The right way to fill out babysitting parent interview form portion 1

2. When the previous segment is done, you have to insert the necessary details in Mobile phone number, Neighbors name and phone number, Name and phone number of an adult, Local emergency phone number, Doctors name, Doctors phone number, Name of preferred hospital to be, and National Poison Control Center PCC so you're able to progress further.

babysitting parent interview form conclusion process clarified (part 2)

It is easy to make a mistake while completing the Local emergency phone number, hence make sure that you take a second look before you submit it.

3. This next portion will be focused on What are the household rules, How would you like me to handle, Do the children need to complete, complete their homework or chores, Saft y and Play, and Would you take me on a tour of - type in all these empty form fields.

babysitting parent interview form writing process explained (part 3)

4. To go ahead, this step requires filling in a handful of form blanks. Included in these are I would like to go over the, Does your family have a i re, Do your children know what to do, Nt e Familis can i nd out more, Does your house have working, and Where is the shutof valve for, which you'll find key to continuing with this document.

Stage number 4 in completing babysitting parent interview form

5. To wrap up your form, the last section incorporates a couple of extra blanks. Typing in Is it okay to take the children, and FA M I LY I N T E R V I E W F O R M should wrap up everything and you can be done quickly!

Writing section 5 in babysitting parent interview form

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