Which safety devices were installed in your home? Please list.

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* 1. Which safety devices were installed in your home? Please list.

Have you had any falls in the bathroom in the past three months?

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* 2. Have you had any falls in the bathroom in the past three months?

Have you had any other falls?

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* 3. Have you had any other falls?

If you received bathroom devices, did they help prevent falls?

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* 4. If you received bathroom devices, did they help prevent falls?

Did you receive a safety manual? (If you didn't receive one, please visit olhsa.org/olderadultservices to download one)

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* 5. Did you receive a safety manual? (If you didn't receive one, please visit olhsa.org/olderadultservices to download one)

Has this program made you feel more secure and safer in your home?

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* 6. Has this program made you feel more secure and safer in your home?

Have these devices helped you feel less stressed in your home?

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* 7. Have these devices helped you feel less stressed in your home?

Do you have an increased feeling of independence?

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* 8. Do you have an increased feeling of independence?

How can OLHSA improve our services? What other services could we offer?

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* 9. How can OLHSA improve our services? What other services could we offer?

Contact Information

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* 10. Contact Information

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