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Coverage Selection
Plan Selection Choices
Contact Preference
Address Major Concerns
Time Of Day Available
Date Of Availability
Coverage Selection
Who Is This Plan For?
My Self
My Significant Other
My Mother
My Father
My Wife & I
My Parents
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Plan Selection Choices
What Senior Care Can We Help You With?
Basic Package
Remote Care Services
In-Home Care Services
Senior Care Bundled
Bill Paying Services
Property Maintenance
Child Care/Nanny
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Contact Preference
What Is Your Preferred Point Of Contact?
Phone
SMS
Email
What Is Your Phone Number?
*
What Is Your Email?
*
First Name
*
Last Name Name
*
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Address Major Concerns
Let Us Ensure All Your Concerns Are Met?
Activity monitoring
Motion & Door Sensors
Telehealth
Remote Monitoring
Communication Features
Messages & Video Calling
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Time Of Day Available
Best Time To Be Contacted?
Morning
(7am-12pm)
Midday
(12pm-5pm)
Evening
(5pm-10pm)
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Date Of Availability
What Days Of The Week Are You Available?
Monday
Tuesday
Wednesday
Thursday
Friday
Saterday
Sunday
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