What is your name? *

First Name

Last Name

If you don't have a PPS number, have you started to apply for a PPS number?

Yes

No

Do you have a clear work timetable? *

Yes

No

Do you have proper breaks throughout the day? *

Yes

No

Are you doing more than 7 hours work per day? *

Yes

No

If you are doing more than 7 hours work per day, have you informed your employer by email about this?

Yes

No

Do you have 11 hours of uninterrupted rest every 24 hours? *

Yes

No

Did you have one 24 hour period completely off during your first week? *

Yes

No

Do you feel that you can manage the workload? *

Yes

No

Do you have enough food? *

Yes

No

Is your bedroom warm and comfortable and do you have wifi internet? *

Yes

No

In general is the house in good condition and clean? *

Yes

No

In general, are you satisfied with your placement so far? *

Yes

No