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The Front Porch Contact Form
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Name
*
First
Last
Email
*
Phone Number
*
Who are we helping today?
*
Myself
My Spouse
My Parent
My Grandparent
Another Family Member
A Friend
Other
What kind of help are you looking for?
*
🌻 Neighbor Plan
🏡 Front Porch Plan
❤️ Peace of Mind Plan
🥣 Need to Borrow a Cup of Sugar? (One-Time Help)
🚗 House Call
🌼 Digital Checkup
I’m Not Sure Yet
What can I help you with?
*
New Phone or Tablet
Computer or Laptop
Wi-Fi or Internet
Printer
Email
Passwords
Virtual Doctor Appointment
Smart TV or Streaming Device
Online Safety or Scam Review
Photos & File Organization
Other
Tell Me a Little About What's Going On
*
Tell me what’s been happening. No question is too small! Whether it’s a frustrating password, a confusing email, or a brand-new device, I’m here to help.
How would you like to receive help?
*
Phone
Video Call
In-Home Visit
I’m Not Sure Yet
Is this urgent?
*
Not Urgent
Within the Next Week
As Soon As Possible
Best way to reach you?
*
Phone Call
Text Message
Email
help this of
Is There Anything Else I Should Know? (optional)
Examples: Mobility concerns Vision or hearing challenges Preferred days or times Anything else that will help me make your experience more comfortable
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