For E7, you could use an array formula input as:
=INDEX(Sheet1!$E$1:$E$100, MATCH(A7&B7&C7&D7, Sheet1!$A$1:$A$100 & Sheet1!$B$1:$B$100 & Sheet1!$C$1:$C$100 & Sheet1!$D$1:$D$100,0))
with Ctrl-Shift-Enter. However, you have also some work to do to make sure your dropdown selections exactly match the data on the Sheet1 (eg 'home care' is not 'homecare').
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Cheers,
Paul Edstein
[Fmr MS MVP - Word]
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