Email Form

Providing Service For Your Needs
Ask Your Question(s) Below

We have provided this form to make it easier for you to ask your questions. Just fill in the information in the appropriate boxes below. Then click on the submit button to submit your questions.

Or Click Here and call us now by phone.

Privacy: Your information is not store unless you request to be contacted.

Please fill out the appropriate information below before clicking on the submit button.

First Name:

Last Name:

Enter Email Address:
Please re-enter your email address for verification:

NOTE: Make Sure YOUR EMAIL is correct. Check it before clicking on "Submit"

Phone Number: (Optional) format: 555-666-7777

Preferred method of communication:

Best Day To Call:

Best Time of Day:
to
Your Needs

Please click on the button below
and select whether you are looking for a personal caregiver for Myself or Someone Else.

Subject:
Relationship to Person Needing Care

If the answer above was "Someone Else" please check the appropriate circle below?: (select one)
   (i.e., Click on the circle=)
    Father
    Mother
    Brother or Sister
    Other
    Please explain "Other" below:

Services Looking For

1.  Please check the appropriate boxes below that best describe the services you are looking for:
    Preparing Meals
    Assist with medication
    Driving to places
    Help with housework
    Bathing assistance
    Walking assistance
    Other
    Please explain "Other" services needed here:

Please put any additional information you wish in the space provided below.

The following questions are optional. Please answer these questions. Your answers will help us serve you better now and in the future. Or Click Here to go to "Submit Button"
Finding Seven Sisters Web Site

1.  How did you find Seven Sisters Inc.?:
(select the appropriate one(s))
    Search Engine
    Classified Ad
    Message Board
    News Group
    Friend
    Family Member
    Other
    Please explain "Other" here:


2.  If you used a “search engine”, please specify which one (i.e., AOL, MSN, Yahoo, Lycos, Overture):
    Please state which search engine you used here:


3.  What word(s) did you use to search for a site like ours?:
    Please put word(s) you used here:

Web Site's Performance

1.  Is our web site easy to navigate (find things you want to look at)?: (select one)
    Yes
    No
    Somewhat
    Explanation if you need to:


2.  Is the text easy to read?: (select one)
    Yes
    No
    Somewhat
    Explanation if you need to:


3.  Are the pictures we offer beneficial to show you what the benefits are in having your own "Personal Caregiver"?: (select one)
    Yes
    No
    Somewhat
    Explanation if you need to:


4.  Overall how would you rate our web site?
    Very Good
    Good
    Average
    Below Average
    Please explain here (if necessary):

Additional Information

1.  What information would you like to see more of on our site. Please explain below:


2.  Would you like to see Seven Sisters web site in another language?: (select one)
    Yes
    No
    Please explain which language(s) you would like to see added:


Thank You From Seven Sisters!
You will be redirected back to our Home Page when you
click on the Submit Button above.

CONTACT INFORMATION

Seven Sisters, Inc.
320 N. Travis St., Suite 307
Sherman, TX 75090

In Texas:
903-813-8477
800-461-0549 (toll free)

Email: information@7sisterscare.com

Licensed in the State of Texas as a
"Home and Community Service Agency"

This site Designed and Maintained by
"Unlimited Thinking
Web Design"
Click Here
Visit A World of
Unlimited Thinking
Div. of MJB Internet Resources