Full Name
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Email
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Are you over the age of 60?
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Yes
No
Target Market: Residential homes, strata and other small jobs
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Yes
No
I want to avoid moving just because of mobility or safety concerns.
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Yes, I do
No
I prefer to make small, smart changes now rather than wait for a problem.
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Yes, I do!
No
My home hasn’t been updated with aging in mind.
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Yes, it has
No
I’ve never had a professional walk through my home to look for future risks.
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Yes, I have
No
There are steps, narrow doorways, or awkward spaces that could become a problem down the road.
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Yes
No
I don’t currently have grab bars or other supports in high-use areas like the bathroom.
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Yes, I do
No
I’ve noticed small changes in balance, strength, or vision that I want to plan for.
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Yes
No
Do you avoid using certain parts of your bathroom because of safety concerns?
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Yes
No
I want to make sure visitors or family with mobility issues are safe in my home.
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Yes
No
I want my family to feel reassured that I’m living in a safe environment.
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Yes
No
