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Have you or your loved one experienced any of the following? 
Needed additional medical support, such as calls to the doctor or increased medication?
Been hospitalized or gone to ER several times in past 6 months?
Been diagnosed with a life-limiting illness?
Spending most of the day in a chair or bed?
Started feeling weaker or fatigued?
Experienced noticeable weight loss?
Experienced shortness of breath, even if sitting down?
Fallen multiple times in the past 6 months?
Needed help with one or more of the following daily activities? (walking, bathing, dressing, eating, getting out of bed)

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