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Checklist:

Respite Care Capabilities
(Please rank each item.)

Category Very Important Somewhat Important Not Important
Variety of respite care periods available
Minimum stay      
Maximum stay      
Multiple levels of respite care available on site

Assisted living

     
Alzheimer's      
Skilled nursing      
Offsite Activities
Assistance with arranging and
participating in off-site activities
     

Financial arrangements

Daily fee

     
Weekly fee      
Deposit