Thank you for taking part in our survey.

This survey is for Juniper to get a better understanding of the Home and Community Care needs of residents living in the Shire of GingIn. 

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* 1. Contact Information 

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* 2. Have you received an Aged Care Assessment from the government's Aged Care Assessment Team (ACAT)?

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* 3. Do you currently have a package? 

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* 4. Do you currently receive any home care services?

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* 5. What kind of Home and Community Care Services would you be interested in?

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* 6. Please add any comments or questions you may have

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