EmpathyKare Home Care

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We’d Love to Hear From You

Survey Form

Survey Form

Take Our Survey

Let us know how to provide the best care for you!

Survey Form

First Name

Last Name

Email Address

Phone Number

Are You a Veteran or Surviving Spouse of a Veteran?

Yes

No

What Prompted Your Needs for Care?

Personal Care (Bathing, Grooming & Dressing)

Medication Reminder

Transportation

Housekeeping

Appointments

Home Safety

Companionship

Assisted Daily Living

Meal Prep & Planning

Pet Care

Errands & Shopping

Specialized Care

Light Cleaning

Mobility & Exercise

Outings (recreational)

Positioning Care

Other

Please Let Us Know if You Have Any Questions Regarding the Needs for Care

Who Will the Services Be Provided for?

Self

Grandparent

Uncle

Mom

Spouse

Brother

Dad

Aunt

Sister

Someone else

When Can We Provide Your Care?

Immediately

Within the next six months

Within the next three months

Not sure

How Often Can We Provide Your Care?

Daily

Weekly

1 -3 days a week

Monthly

4-6 days a week

What Part of the Day Do You Prefer We Provide Care?

Morning

Evening

Afternoon

24 hours

When is the Best Time for Us to Call You and Meet With You for an in-home Assessment? *

Thank you for contacting us.
We will get back to you as soon as possible.

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EmpathyKare Home Care

Contact Info

Location:

545 Christy Dr suite 2401

Greenwood Indiana 46143

Myra: (765) 823-0896

Timeka: (765) 823-6943

LaTara: (765) 823-0244

Corie: (765) 823-6725

Email: empathy@empathykare.com

Opening Hours

Monday - Thursday: 10:00 AM - 3:00 PM

Friday - Sunday: Closed

Specialized Care

Care Services
Personal Care Services
Companionship
Respite Care
Skilled Care
Pathways Waiver
Health & Wellness
Traumatic Brain Injury Waiver
Long Term Insurance
Private Pay

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EmpathyKare Home Care

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