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Guidance Check in

We're so looking forward to meeting with you! Fill out this quick form so we can get an idea of how things are going before we jump in!

Click the button below to start your quick check-in.

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Question 1 of 3

How's your sleep?

A

Sleeping well, feeling rested

B

Some good nights, some bad, feeling rested sometimes

C

Mostly not good, feeling tired often

Question 2 of 3

How's your social time going?

A

Great, I get enough time to socialize

B

Meh, I could use more time, but I get to see friends sometimes

C

I'm feeling isolated and I wish I could socialize more

Question 3 of 3

How is it going with managing dementia?

A

Feeling comfortable and confident

B

Feeling ok, could use some help in certain areas

C

Feeling overwhelmed, I need help!

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