1. What Long Term Care software are you currently using and the total number of users currently using this software?

2. List the activities that your current software does not address and you end up performing these manually?

3. Is your current software vendor able to address all your specific and customized reporting requirements?

4. What are your top three challenges?

5. Please provide the following facility details:

Facility Type	Count of Facilities	Licensed Beds	Total Employees
Skilled Nursing Facilities
Assisted Living Facilities
Home Health
Hospice
Others

6.Please provide the below information incase you would like us to contact you:

First Name
Last Name
Name of the Organization
Email Id
Phone Number
Best time to contact

*What is 2+2? (Anti-spam)

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