Trusted Diabetes Caregivers

Caregiver Pre-screen Questionnaire

We are looking for reliable, compassionate and dedicated caregivers experienced with assisting people living with diabetes that require insulin administration. Hours will vary by client need, both children and adults. Pay rates may range from $15/hr. - $30/hr., based on experience level and qualifications of the independent contractor. Must be at least 18 years old.

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* 1. How many years of caregiving experience do you have?

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* 2. How many years of hands-on insulin pump operation experience do you have?

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* 3. How many years of Type 1 Diabetes carbs and insulin dose calculation experience do you have?

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* 4. How many years of Type 1 Diabetes insulin dosing experience do you have?

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* 5. How many years of Type 2 Diabetes insulin dosing experience do you have?

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* 6. Please provide a brief description of your caregiver and diabetes care management experience, as a licensed or unlicensed professional and submit your resume and/or cover letter to caregivers@allforonecares.com.

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* 7. Please provide your contact information?

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number