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Exit Survey
 
 
How interested are you in adult home care or residential care services?
 
Very interested
 
Interested
 
Neutral
 
Uninterested
 
Very uninterested
 
 
Please rate the following features of this proposed service based on their importance to you.
Very Important Somewhat Important Not Important Neutral
day care services in your home
night care services in your home
Residential care
Price
Payment plan
 
 
 
What would be an appropriate price for the services per hour/month?
 
Full range of Day Care Service at Home 8 hours per day $1,500 a month
 
Partial range of Day Care Services $20 per hour
 
Night Care Service - Qualified Medical Staff $1,750 a month
 
Night Care Service - Non-medical Staff - $1,550 a month
 
Residential Care Service Own Room/bathroom facilities- $2,500 a month
 
Residential Care Service - shared room - $1,750 a month
 
I would not pay for this service
 
 
 
What payment method are you likely to pay with?
 
Cash
 
Check
 
Credit card
 
Debit card
 
Payment plan
 
 
 
What other features you would like to see incorporated into this service?
   
 
 
 
Please provide any additional comments you have about our proposed service.