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* 1. Do you have a family member who is in need of *Adult Day Care Services?
*Adult Day Care Service is a service that is provided to those ages 18 and over who are in need of supervised care.

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* 2. Would you prefer hourly or per day care?

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* 3. How many hours per day would day care service be needed?

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* 4. How many days per week (Monday - Friday) would you need Adult Day Care services?

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* 5. How much you would be willing to pay per day out of pocket?

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* 6. Would transportation be needed?

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