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Health Questions
A Few Quick Questions
This helps us find your best options.
Q1 — Have you been diagnosed with or treated for any heart condition, diabetes requiring insulin, COPD, cancer, or stroke in the last 5 years?
Q2 — Are you currently taking medication for more than one chronic condition such as heart disease, kidney disease, lung disease, or a neurological condition like MS or Parkinson's?
Q3 — Have you been hospitalized overnight for any reason other than a routine procedure or accident in the last 2 years?
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Health Questions
Just a Few More
We want to make sure we find the right fit.
Q1 — Are you currently using oxygen or on dialysis?
Q2 — Have you been diagnosed with cancer, dementia, ALS, or organ failure in the last 2 years?
Q3 — Have you had a heart attack or stroke in the last 12 months with ongoing complications?
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