Snore MD Application Questionnaire

Your Name:

Phone Number:

Email Address:

What is your preferred location?

What position are you applying for?

Clinical Coordinator/Medical Office Assistant

Sleep Clinician (RRT, RPSGT, CPSGT, RN, LPN designation required)

Regional Manager RT

Product Refresh Specialist

Office Administrator / Accountant / Inventory & Clinic Support Mgr

New Patient Concierge

Billing Specialist

Are you available for a 5-day a week schedule that always includes Mondays and Saturdays?

Yes

No

Maybe

Do you have work experience in:

Sleep Apnea Field

Optometry, Hearing Aide or Physiotherapy clinic

Medical Office

None of the above

Do you have experience working in an office?

25+ yrs

5-24 yrs

1-4 yrs

Zero

How many different companies have you worked for in the last five years?

1

2

3

4+

Have you ever been in a leadership role or had more than 3 people report to you?

Yes

No

How long would you like to work at Snore MD?

10+ yrs

5-9 yrs

2-4 yrs

1 yr

How many addresses have you lived at in the last five years?

1

2

3+

What city do you live in?

Have you ever had a job you truly loved?

Yes for sure

Not really sure

Sadly no

Who takes on the 'organizer parent role' in your peer group?

Me

Everyone

We take turns

My friend

I believe problems are a part of life and make us stronger:

Yes, bring ‘em on

Sometimes

No, not really

Do you consider yourself lucky?

For sure

Sometimes

Not really

What is your primary language spoken?

English

Other

Please list any other languages spoken:

What is your hourly wage expectation?

Briefly describe the three things that guarantee you'll rock this (optional)

Do you currently reside in Canada?

Yes I live in and can work in Canada

I am willing to relocate to Canada

Where did you hear about us?

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Snore MD Application Questionnaire