New Territories Islands 
Long-term service：I need long-term service 
Type of service：In home night care What type of service do you need?
In home night care
What type of care work do you need?
General daily caregiving
Meal assistance
Incontinence Care
Meal assistance
Incontinence Care
How many elderlies need to be taken care of?
1
How old is the elderly?
Others, 5 2歲長期病患者吞嚥困難者
What is the gender of that elderly?
Male
Any special conditions we need to be aware of?
Mobility limited
Cancer patient
Cancer patient
Do you need long-term service?
I need long-term service
What time do you prefer to have the service?
Monday Morning, Early afternoon, Late afternoon.
Tuesday Morning, Early afternoon, Late afternoon.
Wednesday Morning, Early afternoon, Late afternoon.
Thursday Morning, Early afternoon, Late afternoon.
Friday Morning, Early afternoon, Late afternoon.
Saturday Morning, Early afternoon, Late afternoon.
Sunday Morning, Early afternoon, Late afternoon
Where do you prefer to have the service?
My designated location
Anything else that we need to know?
No
Where is your location?
New Territories,Islands
