I didnt have a good experience with PEM but i think also depends on the indiv confinement nanny. I couldnt get the one that my friend recommended, so I went for another one that I saw had not bad reviews on PEM fb page. But at the end of my confinement i realised that the reviews may not be genuine…i was told that I will get some rebate/discount if I write a positive review and the confinement nanny will get additional $. I felt pressured to leave a positive review too even though not all rosy. This was 5 years ago 😳 not sure if things have changed haha. The good thing about it is if you want a change in nanny or if your assigned nanny cannot make it, PEM agent can find another one for you! Service/transaction was quite hassle free.