Here’s the survey in two formats — Word and PDF. If you use the Word form, you can copy your completed survey and paste it into an email to me at wishomecare@earthlink.net (you can also save your completed Word doc and send it to me as an attachment, or print it out and fax it to 608-278-4009.
If you use the PDF format, you’ll need to print it, complete it and fax it to me at 608-278-4009.


