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Senior Placement Solution for Assisted Living Charlotte, Gastonia Mooresville service area and storefront.

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Local Knowledge of Assisted Living, Memory Care, Independent Living and In-Home Care Operators in Shelby, Kings Mountain, Cherryville, Gastonia, Lincolnton, Charlotte, Lake Norman, Mooresville, Huntersville, and surrounding counties. 

Discover the best Long-Term Care solution for you or loved one today!

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<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Senior Placement Solution - Find Care</title>
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<div class="bg-white shadow-lg rounded-lg w-full max-w-xl p-6 md:p-8">
    <h2 class="text-2xl md:text-3xl font-bold text-center mb-4 text-gray-800">Find Senior Living Near You</h2>
    
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            <label class="block mb-4 font-semibold text-gray-700 text-lg">Who are you looking for?</label>
            <div class="space-y-3">
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="care_for" value="A Parent" class="mr-3">A Parent</label>
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="care_for" value="Myself" class="mr-3">Myself</label>
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="care_for" value="A Spouse" class="mr-3">A Spouse</label>
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        <div class="form-step" data-step="2">
            <label class="block mb-4 font-semibold text-gray-700 text-lg" for="location">What city or zip code?</label>
            <input type="text" id="location" name="location" class="w-full p-3 border rounded-lg" placeholder="e.g., Cherryville, NC or 28021" required>
            <div class="validation-message hidden mt-2 text-red-600">Please enter a location.</div>
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        <div class="form-step" data-step="3">
            <label class="block mb-4 font-semibold text-gray-700 text-lg">What type of care is needed?</label>
            <div class="space-y-3">
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="care_type" value="Assisted Living" class="mr-3">Assisted Living</label>
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="care_type" value="Memory Care" class="mr-3">Memory Care</label>
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="care_type" value="Independent Living" class="mr-3">Independent Living</label>
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="care_type" value="In-Home Care" class="mr-3">In-Home Care</label>
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="care_type" value="Not Sure Yet" class="mr-3">Not Sure Yet</label>
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        </div>
        
        <div class="form-step" data-step="4">
            <label class="block mb-4 font-semibold text-gray-700 text-lg">What has prompted your search?</label>
            <div class="space-y-3">
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="prompted_search" value="Currently in hospital/rehab" class="mr-3">Currently in hospital/rehab</label>
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="prompted_search" value="Memory Care needs" class="mr-3">Memory Care needs</label>
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="prompted_search" value="Caregiver no longer able to support" class="mr-3">Caregiver no longer able to support</label>
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="prompted_search" value="Recent unexpected diagnosis" class="mr-3">Recent unexpected diagnosis</label>
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="prompted_search" value="Other" class="mr-3">Other</label>
            </div>
        </div>

        <div class="form-step" data-step="5">
            <label class="block mb-4 font-semibold text-gray-700 text-lg">What is your budget for care monthly?</label>
            <div class="space-y-3">
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="budget" value="Less than $2,000" class="mr-3">Less than $2,000</label>
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="budget" value="$4,000" class="mr-3">$4,000</label>
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="budget" value="$6,000" class="mr-3">$6,000</label>
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="budget" value="$8,000+" class="mr-3">$8,000+</label>
            </div>
        </div>

        <div class="form-step" data-step="6">
            <label class="block mb-4 font-semibold text-gray-700 text-lg">Are you open to residential care homes?</label>
            <div class="space-y-3">
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="residential_homes" value="Yes" class="mr-3">Yes</label>
                <label class="block p-4 border rounded-lg cursor-pointer hover:bg-blue-50"><input type="radio" name="residential_homes" value="No" class="mr-3">No</label>
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        </div>

        <div class="form-step" data-step="7">
            <div class="mb-4">
                <label class="block mb-2 font-semibold text-gray-700 text-lg" for="fullName">What is your full name?</label>
                <input type="text" id="fullName" name="name" class="w-full p-3 border rounded-lg" placeholder="Your Name" required>
                <div class="validation-message hidden mt-2 text-red-600">Please enter your name.</div>
            </div>
            <div>
                <label class="block mb-2 font-semibold text-gray-700 text-lg" for="phone">And your phone number?</label>
                <input type="tel" id="phone" name="phone" class="w-full p-3 border rounded-lg" placeholder="(555) 123-4567" required>
                <div class="validation-message hidden mt-2 text-red-600">Please enter your phone number.</div>
            </div>
        </div>

        <div id="navigation-buttons" class="mt-8 flex justify-between items-center">
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            <button type="button" id="next-btn" class="bg-blue-600 text-white px-6 py-2 rounded-lg hover:bg-blue-700 flex-shrink-0">Next</button>
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    </form>
    
    <div id="success-message" class="hidden text-center">
        <h3 class="text-2xl font-bold text-green-600">Thank You!</h3>
        <p class="text-gray-700 mt-2">Your information has been submitted successfully. We will be in touch shortly.</p>
    </div>
</div>

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