Are you interested in Sober Living?
Please enter your information below:
Full Name
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What is your best phone number?
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Please enter a valid phone number.
Format: (000) 000-0000.
What is your best email address?
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example@example.com
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Have you recently completed inpatient treatment or rehab?
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Please Select
Yes
No
Approximately, how much sober time do you have?
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Please Select
Less than 30 days
30-60 days
60 days - 6 months
6 months or more
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Do you have a job or a means of paying for Sober Living?
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Please Select
Yes, I have a Job
No, I don't have a job, but I have income
A family member will be helping
No, I don't have a means of paying rent
Which location do you prefer?
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San Clemente, California
Dana Point, California
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How soon are you looking to move in?
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Please Select
Today
Within 30 days
within the next few months
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How did you hear about TK's Place?
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