White Label Interest Form White Label Questionnaire White Label Questionnaire Thank you for considering becoming a part of Keep Safe Care as an Associate with our white label Keep Safe Ware. Filling out the form below will help us understand your needs. Thank you. Company Snapshot Company / Organization * First * Last * Title / Role * HQ City * State * ZIP * Number of Locations * 1 - 23 - 56 - 1010+ Email * Phone * Ave Loc Wkly Census * Under 250 hrs250 - 400 hrs400 - 500 hrsOver 500 hrs Recruitment & Payroll Reality Monthly Caregiver Recruitment Spend * Under $2,500$2,500–$5,000$5,000–$10,000$10,000+ How Often Do You Pay Your Caregivers? * WeeklyBi-WeeklyOther Annual Office & Admin Staffing Spend * Under $250,000$250,000–$400,000$400,000–$750,000$750,000+ Approximate Office Staff Members per Location * Software Technology Stack Usage How many S/W tools do you currently use? * 1-23-45+ Total Monthly Spend on 3rd Party Software? * Under $1,000$1,000 - $2,500$2,500 - $5,000More than $5,000 Payroll processing costs (Monthly or Annually) * Your Growth Ambitions Do you have plans to expand or grow? Yes - Actively PursuingYes - Exploring PossibilitiesYes - Under the right conditionsNo - Not at this Time What is currently limiting your growth? Caregiver recruitment Payroll complexity Office staffing capacity Disconnected software Expansion Cost Other / Unknown Other Capabilities Do you currently have EVV functionality? * YesNoPartial Do you use online, real-time scheduling? * YesNoLimited Anything Else you would like to tell us? Send If you are human, leave this field blank.
