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* 1. Personal Information

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* 2. Preferred method of contact?

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* 3. Preferred day/ time of contact?

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* 4. If anyone, who do you have in mind to move into our facility?

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* 5. Are you interested in touring our homes?

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* 6. How did you hear about us?

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* 7. Do you have any questions, concerns, or comments for us before we contact you?

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