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Who are you considering The Regency for? —Please choose an option—My ParentMy SpouseMyselfOther Family Member What is the potential resident's current living arrangement? —Please choose an option—Lives in home independently (No care services)Lives in home with some assistanceLives in a community for independent seniorsLives in an assisted living communityLives in a nursing and rehabilitative facilityLives in someone else's home (family member or friend)
How did you hear about us? —Please choose an option—Friends or FamilyProfessional (Doctor, Social Worker, etc.)InternetBuildings/SignsDirect Mail When do you or your loved one plan to move into senior living? —Please choose an option—Within 1 Month1-3 Months3-6 Months6+ Months
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Who are you considering The Regency for? -----------My ParentMy SpouseMyselfOther Family Member
What is the potential resident's current living arrangement? -----------Lives in home independently (No care services)Lives in home with some assistanceLives in a community for independent seniorsLives in an assisted living communityLives in a nursing and rehabilitative facilityLives in someone else's home (family member or friend)
When do you or your loved one plan to move into senior living? -----------Within 1 Month1-3 Months3-6 Months6+ Months
How did you hear about us? -----------Friends or FamilyProfessional (Doctor, Social Worker, etc.)InternetBuildings/SignsDirect MailOther
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How did you hear about us? -----------Friends or FamilyProfessional (Doctor, Social Worker, etc.)InternetBuildings/SignsDirect Mail
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