SenzeLife

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SenzeLife

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Enquiry email gheng@senzehub.com

Name of person making nomination

Your answer

Email Address *

Your answer

Contact Number *

Your answer

Relationship to Senior living alone - e.g. neighbor, family, friend *

Your answer

One or 2 sentences about the Senior *

Your answer

Name of Senior who stays alone *

Your answer

Home address (block, street, unit no) *

Your answer

Any live-in helper? *

Yes

No

Any pets like cat or dog? *

Yes

No

Has home wi-fi internet? *

Yes

No

Has 1 or more person to receive alerts? *

Yes

No

math Q&A to minimize spam bots:

3+2= *

Your answer

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