Quoter | Assisted Living Senior Care Assessment Tool

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12700 Antioch Rd, Overland Park, KS 66213 913.825.9600

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Are you inquiring for yourself or a loved one? * Required
- Myself
- A Loved One

What is your relationship? * Required
- Spouse
- Child
- Grandchild
- Niece
- Nephew
- Other

Do you still live in your own home?
- Yes
- No
Does your loved one live in their own home?
- Yes
- No

Do you currently receive assistance with daily living activities?
- Yes
- No
Do you provide assistance with daily living activities to your loved one?
- Yes
- No

What amenities are you interested in during your time at Rose Estates? * Required
- Fine Dining
- Continuing Care Community
- Transportation
- Recreational, Cultural and Social Activities
- Fitness Programs & Gym
- Pool
- Housekeeping Services
- Assistance with Activities of Daily Living
- Medication Management
- Physical Therapy, Speech Therapy or Occupational Therapy
- Rehabilitation Gym

Please give us your contact information.
Name * Required
Email * Required
Phone * Required

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12700 Antioch Rd, Overland Park, KS 66213 913.825.9600

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