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National Society of Intimacy Professionals

National Society of Intimacy Professionals

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Referral

Who is Referring

Name *

First

Last

Email *

Phone

Referral Information

Candidate's Name *

First

Last

Candidate's Email *

Candidate's Phone Number

In what capacity have you worked with this artist? *

Producer
Direction
Actor
Production company
Other

Other capacity

When did you work with the artist? *

Select the date range when you worked with the artist. If you are still working with the artist, select today’s date as the end date.

In what capacity did they work with you? *

Please let us know what experience was *

Please be as detailed as possible.

How would you rate their work out of ten? *

Rate 1 out of 10Rate 2 out of 10Rate 3 out of 10Rate 4 out of 10Rate 5 out of 10Rate 6 out of 10Rate 7 out of 10Rate 8 out of 10Rate 9 out of 10Rate 10 out of 10

One being the lowest, ten being the highest

How are their communication and listening skills? *

Rate 1 out of 10Rate 2 out of 10Rate 3 out of 10Rate 4 out of 10Rate 5 out of 10Rate 6 out of 10Rate 7 out of 10Rate 8 out of 10Rate 9 out of 10Rate 10 out of 10

One being the lowest, ten being the highest

Were there any behaviours that affected their job performance? *

No
Yes

What behaviours affected their job performance?

Please be as detailed as possible.

Where they professional? *

Yes
No

On-time, they create a safe space and are supportive of the crew.

What aspects were not professional?

Please be as detailed as possible.

Would you hire this Intimacy Coordinator or Intimacy Director again? *

Yes
No

Why would you not hire this person again?

Please be as detailed as possible.

How long was the contract?

Were they dependable and relatable? *

Yes
No

How were they not dependable or relatable?

Please be as detailed as possible.

Do you have other experiences with this Intimacy Coordinator in a working capacity? *

No
Yes

What other experiences do you have working with this Intimacy Coordinator?

Please be as detailed as possible.

In your opinion is there anything that concerns you about this Intimacy Coordinator or Intimacy Director? *

No
Yes

What are your concerns?

Please be as detailed as possible.

Would you recommend them for membership? *

Yes
No

Why would you not recommend them for membership?

Please be as detailed as possible.

Would you like to add anything else? *

No
Yes

Additional comments

Please be as detailed as possible.

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We gratefully acknowledge that NSIP lives and operates across Turtle Island; both on treaty lands within what is now known as Calgary, Edmonton, and Toronto, and on stolen territory in what is now known as Vancouver.

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