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Adult Day Center Survey

Survey to evaluate the interest for adult day center needs and interest

Click the button below to start.

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Question 1 of 1

Please check all the boxes that apply to you currently

(Select all that apply)
A

I currently care for an aging loved one

B

I’m planning to care for an aging loved one in the next 1 to 3 years

C

I’m planning on using ADULT DAY CENTER services in the future

D

I’m currently using other services like in-home care services or private caregivers to help with care of an aging loved one

E

It’s important that my aging loved one is in social settings

F

I’m caring for an aging loved one who’s living with dementia

G

Transportation services may be needed

Confirm and Submit