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How did you hear about Friends Village? (Check all that apply):

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I would like more information about:

Independent Living
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I am interested in learning more for:

Myself
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What is the current living arrangement of the prospective resident?

Lives Independently
Lives independently but requires some assistance
Requires 24-hour care
What is the time frame of this potential move?

Six months
One year
One to two years
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Five to ten years

Would you like to schedule a tour?

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If yes, when is the best time to contact you
and and how do you prefer this contact? (telephone, email, traditional mail:

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What else would you like to know about us, or what else would you like us to know about you?:


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   


Phone (856) 769-1500 ~ Toll Free 1-88-VILLAGE-8
One Friends Drive ~ Woodstown, NJ 08098